Med-Pro Medical Group Inc

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

MED-PRO MEDICAL GROUP INC

Practice address

1880 N Congress Ave Ste 224
Boynton Beach, FL 33426-8675

Phone

(786) 253-7699

Fax

(305) 938-0800

NPI assigned

Sep 15, 2021

Last updated

Oct 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bryant Beltran

Title

Owner

Phone

(833) 633-7760

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Networks

• HealthSun Health Plans Network

Practitioners 1

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.

• Trevor James Tyner, D.O.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Boynton Beach, FL
  • NPI 1013365758
  Medicare reassignment NPD

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698364800000",
    "number": "1699445221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 N CONGRESS AVE STE 224",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268675",
            "telephone_number": "786-253-7699",
            "fax_number": "305-938-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 N CONGRESS AVE STE 224",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268675",
            "telephone_number": "786-253-7699",
            "fax_number": "305-938-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-PRO MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-15",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A",
        "authorized_official_last_name": "BELTRAN",
        "authorized_official_first_name": "BRYANT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "833-633-7760"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.