Individual provider Active NPI

Brian Michael Jurbala, M.D.

  • Orthopaedic Surgery Physician
  • Lakeland, FL
National Provider Identifier
1669468096
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME70116 Issued in FL
Practice address
3317 US Highway 98 S Ste 9
Lakeland, FL 33803-8316
Phone
(863) 709-8777
Fax
(863) 709-1060
NPI assigned
Sep 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X ME70116 FL Primary

Addresses

Primary practice location

3317 US Highway 98 S Ste 9
Lakeland, FL 33803-8316

Mailing address

3317 US Highway 98 S Ste 9
Lakeland, FL 33803-8316
Phone (863) 709-8777

Other identifiers 3

IdentifierTypeStateIssuer
020593810OtherFLGROUP # FOR TRICARE
200046088OtherFLRAILROAD MEDICARE
264652800OtherFLPROVIDER # FOR TRICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040930000233 FL Practitioner - Orthopedic Surgery 9436128022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Temple University School of Medicine, 1994
Medicare assignment
May accept Medicare assignment
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

3317 US Hwy 98 S
Suite 9
Lakeland, FL 33803-8316

8449 SW Hwy 200
Suite 141
Ocala, FL 34481-9695
Phone (352) 693-3378

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Highland Center for Orthopedics & Upper Extremity Surgery P a CurrentSince May 10, 2002 Accepting new patients

Locations

3009 E County Road 540A
Lakeland, FL 33813
Phone (863) 709-8777

3317 US Highway 98 S
Ste 9
Lakeland, FL 33803
Phone (863) 709-8777

2161 E County Road 540A
Lakeland, FL 33813
Phone (863) 398-2793

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": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1669468096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3317 US HIGHWAY 98 S STE 9",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338038316",
            "telephone_number": "863-709-8777",
            "fax_number": "863-709-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3317 US HIGHWAY 98 S STE 9",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338038316",
            "telephone_number": "863-709-8777",
            "fax_number": "863-709-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURBALA",
        "first_name": "BRIAN",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME70116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP # FOR TRICARE",
            "identifier": "020593810",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200046088",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER # FOR TRICARE",
            "identifier": "264652800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.