Individual provider Active NPI

Gerome Alex Cleeford Beliard, MD

  • Obstetrics & Gynecology Physician
  • Orlando, FL
National Provider Identifier
1659446722
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME92935 Issued in FL
Practice address
5308 S John Young Pkwy Ste 300
Orlando, FL 32839-7362
Phone
(407) 846-4882
Fax
(407) 355-3383
NPI assigned
Nov 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME92935 FL Primary

Addresses

Primary practice location

5308 S John Young Pkwy Ste 300
Orlando, FL 32839-7362

Mailing address

5308 S John Young Pkwy Ste 300
Orlando, FL 32839-7362
Phone (407) 846-4882

Other identifiers 1

IdentifierTypeStateIssuer
272868100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME92935FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
OB GYN of Greater Orlando LLC Obstetrics & Gynecology CurrentSince Aug 28, 2022 Accepting new patients

Locations

100 Park Place Blvd
Ste 202
Kissimmee, FL 34741
Phone (407) 931-1510

5308 S John Young Pkwy
Ste 300
Orlando, FL 32839
Phone (407) 846-4882

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1659446722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5308 S JOHN YOUNG PKWY STE 300",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328397362",
            "telephone_number": "407-846-4882",
            "fax_number": "407-355-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5308 S JOHN YOUNG PKWY STE 300",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328397362",
            "telephone_number": "407-846-4882",
            "fax_number": "407-355-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELIARD",
        "first_name": "GEROME ALEX",
        "middle_name": "CLEEFORD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME92935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272868100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.