US National Healthcare Clinics, Inc

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

US NATIONAL HEALTHCARE CLINICS, INC

Practice address

8043 Spyglass Hill Rd
B
Melbourne, FL 32940-8563

Phone

(386) 878-3090

NPI assigned

Sep 27, 2016

Organization subpart

No

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

Authorized official

Name

Ronette Bragg

Title

Practice Administrator

Phone

(386) 878-3090

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474934400000",
    "number": "1669921094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 N US HIGHWAY 17 92",
            "address_2": "SUITE 415",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504488",
            "telephone_number": "386-878-3090",
            "fax_number": "407-289-4056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8043 SPYGLASS HILL RD",
            "address_2": "B",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408563",
            "telephone_number": "386-878-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US NATIONAL HEALTHCARE CLINICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-27",
        "last_updated": "2016-09-27",
        "status": "A",
        "authorized_official_last_name": "BRAGG",
        "authorized_official_first_name": "RONETTE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "386-878-3090"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; 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.