Individual provider Active NPI

Paul Clayton Hulsberg, M.D.

  • Vascular & Interventional Radiology Physician
  • Naples, FL
National Provider Identifier
1669715033
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
ME140509 Issued in FL
Practice address
350 7TH St N
Naples, FL 34102-5754
Phone
(239) 624-4443
Fax
(239) 436-5907
NPI assigned
Apr 3, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X ME140509 FL Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

350 7TH St N
Naples, FL 34102-5754

Mailing address

350 7TH St N
Naples, FL 34102-5754
Phone (239) 624-4443

Other identifiers 2

IdentifierTypeStateIssuer
X4S1WOtherFLBCBS
103195200MedicaidFL

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
I20190808001820 FL Practitioner - Interventional Radiology 3971806654 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians

Practice addresses (Care Compare)

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 399-5550

2115 Little Rd
Trinity, FL 34655-4410
Phone (904) 399-5550

3050 NE 164TH St
Miami, FL 33160-4131
Phone (904) 399-5550

449 W 23Rd St
Panama City, FL 32405-4507
Phone (904) 399-5550

800 Prudential Dr
Jacksonville, FL 32207-8202
Phone (904) 399-5550

Hospital & facility affiliations

  • HCA Florida Gulf Coast Hospital Hospital, Panama City, FL, CCN 100242
  • Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088
  • Ascension Sacred Heart Bay Hospital, Panama City, FL, CCN 100026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME140509FLMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nchmd, Inc CurrentSince Jul 1, 2019 Accepting new patients
Proscan NCH Imaging LLC CurrentSince Jun 18, 2021 Accepting new patients
Mori Bean and Brooks Inc Vascular & Interventional Radiology CurrentSince Oct 1, 2025 Accepting new patients
Proscan NCH Imaging LLC CurrentSince Jun 18, 2021 Accepting new patients
Nchmd Inc CurrentSince Jul 1, 2019 Accepting new patients
Sheridan Radiology Services of Central Florida Inc Current Accepting new patients
Sheridan Radiology Services of Central Florida, Inc. Past Accepting new patients

Locations

502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481

8375 Dix Ellis Trl
Ste 201
Jacksonville, FL 32256
Phone (904) 399-5810

1100 NW 95th St
Miami Shores, FL 33150
Phone (305) 835-6000

1020 Crosspointe Dr
Ste 103
Naples, FL 34110
Phone (239) 624-4443

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

1401 W Seminole Blvd
Sanford, FL 32771
Phone (317) 805-2316

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

2115 Little Rd
Trinity, FL 34655
Phone 7278418225410

Organizations & group practices 7

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1669715033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 7TH ST N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025754",
            "telephone_number": "239-624-4443",
            "fax_number": "239-436-5907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 7TH ST N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025754",
            "telephone_number": "239-624-4443",
            "fax_number": "239-436-5907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULSBERG",
        "first_name": "PAUL",
        "middle_name": "CLAYTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-03",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME140509",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "X4S1W",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103195200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.