Active NPI
Bascom Clarence Raney
- Family Medicine Physician
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME0051114
- Practice address
- 9400 University Pkwy
Suite 409
Pensacola, FL 32514-5752 - Phone
- (850) 208-6160
- NPI assigned
- Jun 16, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME0051114 | FL | Primary |
Addresses
Primary practice location
9400 University Pkwy
Suite 409
Pensacola, FL 32514-5752
Mailing address
245 W Airport Blvd
Pensacola, FL 32505-2254
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04161 | Other | FL | BLUE CROSS FLORIDA |
| 660034400 | Other | FL | RURAL HEALTH (MEDICAL) |
| 010024345 | Other | FL | RAILROAD MEDICARE |
| 59064837 | Other | AL | BLUE CROSS ALABAMA |
| 103864 | Other | CAHABE GBA MEDICARE | |
| 046121100 | Medicaid | FL |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Medical Group LLC | Current | Accepting new patients | |
| Jay Hospital, Inc. | Current | Accepting new patients | |
| Jay Hospital, Inc. | Current | Accepting new patients | |
| Baptist Medical Group LLC | Family Medicine | Current | Accepting new patients |
| Bascom Clarence Raney | Past | Accepting new patients |
Locations
8401 N Century Blvd
Century, FL 32535
Phone (850) 256-5314
14114 Alabama St
Jay, FL 32565
Phone (850) 675-8000
245 W Airport Blvd
Pensacola, FL 32505
9400 University Pkwy
Ste 409
Pensacola, FL 32514
Phone (850) 994-7256
9400 University Pkwy
Ste 210
Pensacola, FL 32514
Phone (448) 227-4240
Organizations & group practices 5
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.
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-
dba Century Medical Center
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- NPI 1235149949
-
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- NPI 1629749692
-
- Medicare Defined Swing Bed Hospital Unit
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- NPI 1770681421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400457600000",
"number": "1720083876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 W AIRPORT BLVD",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325052254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9400 UNIVERSITY PKWY",
"address_2": "SUITE 409",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325145752",
"telephone_number": "850-208-6160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANEY",
"first_name": "BASCOM",
"middle_name": "CLARENCE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-16",
"last_updated": "2014-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME0051114",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS FLORIDA",
"identifier": "04161",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RURAL HEALTH (MEDICAL)",
"identifier": "660034400",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "010024345",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS ALABAMA",
"identifier": "59064837",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAHABE GBA MEDICARE",
"identifier": "103864",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "046121100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.