Organization Active NPI

Bethesda Health Physician Group, Inc.

  • General Practice Physician
  • Boynton Beach, FL
National Provider Identifier
1699863936
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
BETHESDA HEALTH PHYSICIAN GROUP, INC.
Practice address
2815 S Seacrest Blvd
Boynton Beach, FL 33435-7969
Phone
(561) 737-7733
Fax
(561) 733-5912
NPI assigned
Oct 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Authorized official

Name
Marcella Gravalese
Title
Authorized Official
Phone
(561) 955-5155

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

2815 S Seacrest Blvd
Boynton Beach, FL 33435-7969

Mailing address

2815 S Seacrest Blvd
Boynton Beach, FL 33435-7969
Phone (561) 737-7733

Other identifiers 2

IdentifierTypeStateIssuer
119515300MedicaidFL
2563126MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041201000338 FL Part B Supplier - Clinic/Group Practice 9830154863 Receives reassigned benefits from 1 practitioner
Practice locations: Boynton Beach, FL

National Provider Directory

National Provider Directory

Locations

10301 Hagen Ranch Rd
Ste A750
Boynton Beach, FL 33437
Phone (561) 374-7372

10301 Hagen Ranch Rd
Ste B4
Boynton Beach, FL 33437
Phone (561) 200-3583

4895 Windward Passage Dr
Ste 4
Boynton Beach, FL 33436
Phone (561) 733-3970

6056 W Boynton Beach Blvd
Ste 115
Boynton Beach, FL 33437
Phone (561) 708-1760

2623 S Seacrest Blvd
Ste 112
Boynton Beach, FL 33435
Phone (561) 738-9761

1325 S Congress Ave
Ste 103
Boynton Beach, FL 33426
Phone (561) 364-0200

237 NE 8th St
Delray Beach, FL 33444
Phone (561) 272-4888

4723 W Atlantic Ave
Ste 7
Delray Beach, FL 33445
Phone (561) 374-8461

6300 Lantana Rd
Ste 32A
Lake Worth, FL 33463
Phone (321) 439-5200

6234 S Congress Ave
Lantana, FL 33462
Phone (561) 619-9510

2875 S Ocean Blvd
Ste 208
Palm Beach, FL 33480
Phone (561) 588-0411

1650 S Congress Ave
Ste B
Palm Springs, FL 33461

264 NW Peacock Blvd
Ste 1032
Port Saint Lucie, FL 34986
Phone (772) 777-8233

10115 Forest Hill Blvd
Wellington, FL 33414
Phone (561) 328-6165

2465 S State Road 7
Ste 800
Wellington, FL 33414
Phone (561) 784-4930

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744934400000",
    "number": "1699863936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 S SEACREST BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357969",
            "telephone_number": "561-737-7733",
            "fax_number": "561-733-5912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 S SEACREST BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357969",
            "telephone_number": "561-737-7733",
            "fax_number": "561-733-5912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA HEALTH PHYSICIAN GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A",
        "authorized_official_last_name": "GRAVALESE",
        "authorized_official_first_name": "MARCELLA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "561-955-5155"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119515300",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2563126",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; 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.