Baptist Physician Group LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

ME69848 Issued in FL

Legal business name

BAPTIST PHYSICIAN GROUP LLC

Practice address

9400 University Pkwy
Suite 309
Pensacola, FL 32514-5752

Phone

(850) 479-3320

Fax

(850) 479-8789

NPI assigned

Nov 15, 2012

Last updated

Aug 8, 2017By 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

Bryon Scott Raynes

Title

President

Phone

(850) 469-2319

Specialties & licenses 2

Addresses

Other identifiers 3

Tax ID family

Baptist Physician Group LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Baptist Physician Group LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Fort Walton Beach, FL
  • NPI 1730740218
  NPD tax ID

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502150400000",
    "number": "1720322811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30532",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325031532",
            "telephone_number": "850-478-1312",
            "fax_number": "850-474-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 UNIVERSITY PKWY",
            "address_2": "SUITE 309",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325145752",
            "telephone_number": "850-479-3320",
            "fax_number": "850-479-8789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST PHYSICIAN GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2017-08-08",
        "status": "A",
        "authorized_official_last_name": "RAYNES",
        "authorized_official_first_name": "BRYON",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-469-2319"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME69848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001330100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110608",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "39662",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Baptist Medical Park Surgery Center, LLC
• Baptist Physician Enterprise LLC
• Baptist Physician Group LLC
• Baptist Physician Group LLC
• Baptist Physician Group LLC
• Baptist Terrezza Group OD PA
• Baptist Urgent Care, LLC
• Baptist Urgent Care, LLC (Baptist Urgent Care - Airport)
• Ignacio Ray Barajas
• Gregg A Baran, MD

• Orthopaedic Surgery Physician in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2017; 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.