Organization Active NPI

Jfi Sports Medicine, LLC

  • Orthopaedic Surgery Physician
  • Loxahatchee, FL
National Provider Identifier
1679312862
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
JFI SPORTS MEDICINE, LLC
Practice address
12955 Palms West Dr Ste 202
Loxahatchee, FL 33470-9217
Phone
(561) 894-9966
Fax
(561) 208-3824
NPI assigned
May 20, 2024
Last updated
May 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Authorized official

Name
Mr. Brian E Coleman, MDNPI 1366442618
Title
Owner
Phone
(561) 886-8667

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X NU

Addresses

Primary practice location

12955 Palms West Dr Ste 202
Loxahatchee, FL 33470-9217

Mailing address

12955 Palms West Dr Ste 202
Loxahatchee, FL 33470-9217
Phone (561) 894-9966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240614001012 FL Part B Supplier - Clinic/Group Practice 9830632116 Receives reassigned benefits from 2 practitioners
Practice locations: Loxahatchee, FL
O20250314001427 FL DME Supplier - Multi-Specialty - Physician 9830632116 Practice locations: Loxahatchee, FL

National Provider Directory

National Provider Directory

Locations

12955 Palms West Dr
Ste 202
Loxahatchee, FL 33470
Phone (561) 753-7010

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1679312862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12955 PALMS WEST DR STE 202",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709217",
            "telephone_number": "561-894-9966",
            "fax_number": "561-208-3824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12955 PALMS WEST DR STE 202",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709217",
            "telephone_number": "561-894-9966",
            "fax_number": "561-208-3824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JFI SPORTS MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-886-8667",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loxahatchee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.