Individual provider Active NPI

Marvin R McBride Jr., M.D.

  • Hospitalist Physician
  • Lakeland, FL
National Provider Identifier
1730189499
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
ME119775 Issued in FL
Practice address
1600 Lakeland Hills Blvd
Lakeland, FL 33805-3065
Phone
(863) 680-7000
Fax
(866) 264-8519
NPI assigned
Jul 26, 2005
Last updated
Apr 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01039483 IN
Hospitalist Physician 208M00000X 62200-20 WI
Hospitalist Physician 208M00000X 01039483 IN
Hospitalist Physician 208M00000X ME119775 FL Primary

Addresses

Primary practice location

1600 Lakeland Hills Blvd
Lakeland, FL 33805-3065

Mailing address

1600 Lakeland Hills Blvd
Lakeland, FL 33805-3065
Phone (863) 680-7000

Other practice location 1

1000 N 16th St
New Castle, IN 47362-4319
Phone (765) 521-0890

Other practice location 2

6600 Madison St
2nd Floor
New Port Richey, FL 34652-1971
Phone (727) 815-7207

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmcbride425424@ewd.direct.hshs.org Direct St Vincent Hospital-Hospital Sisters-Third Order of St Francis

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, OH, FL, WI4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20040722001293 IN Practitioner - HospitalistPractitioner - Family PracticePractitioner - Internal Medicine 4981684685 Reassigns benefits to 5 organizations
I20140616000487 OH Practitioner - Family Practice 4981684685 Reassigns benefits to 1 organization
I20140910002194 FL Practitioner - HospitalistPractitioner - Family Practice 4981684685 Reassigns benefits to 3 organizations
I20200427000967 WI Practitioner - Family Practice 4981684685 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
Indiana University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Watson Clinic LLPGroup PAC ID 1456258979, 365 clinicians
Florida Hospital Healthcare Partners, IncGroup PAC ID 7012266836, 621 clinicians

Practice addresses (Care Compare)

1600 Lakeland Hills Blvd
Lakeland, FL 33805-3019
Phone (863) 680-7000

701 W Plymouth Ave
Deland, FL 32720-3236
Phone (386) 943-4522

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01039483INMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Ohio-Columbus II Professional Corp Family Medicine CurrentSince Jun 1, 2025 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jun 1, 2020 Accepting new patients
Henry County Memorial Hospital Family Medicine CurrentSince Oct 16, 2017 Accepting new patients
Indiana University Health Ball Memorial Physicians, Inc. Hospitalist CurrentSince Feb 1, 2018 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Jul 13, 2021 Accepting new patients
Hospitalist Physicians of Indiana, PC Family Medicine CurrentSince Dec 12, 2023 Accepting new patients
Ridgewood Physician Services, LLC Hospitalist CurrentSince Jul 24, 2020 Accepting new patients
Baptist Health Medical Group Inc Hospitalist CurrentSince Jun 1, 2020 Accepting new patients
Henry County Memorial Hospital CurrentSince Oct 16, 2017 Accepting new patients
Sound Physicians of Indiana, LLC Family Medicine CurrentSince Aug 1, 2023 Accepting new patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis CurrentSince Jan 13, 2025 Accepting new patients
Sound Physicians of Indiana, LLC Family Medicine CurrentSince Aug 1, 2023 Accepting new patients
Indiana University Health Ball Memorial Physicians, Inc. Family Medicine CurrentSince Feb 1, 2018 Accepting new patients
St Clare Memorial Hospital, Inc CurrentSince Jan 13, 2025 Accepting new patients
Baptist Health Medical Group Inc Current Accepting new patients
Florida Hospital Healthcare Partners, Inc CurrentSince Jan 21, 2025 Accepting new patients
St Nicholas Hospital-Sisters of the Third Order of St Francis CurrentSince Jan 13, 2025 Accepting new patients
Galen Inpatient Physicians, PC Hospitalist CurrentSince Jul 13, 2021 Accepting new patients
Henry County Memorial Hospital Family Medicine Current Accepting new patients
St Nicholas Hospital-Sisters of the Third Order of St Francis CurrentSince Jan 13, 2025 Accepting new patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis CurrentSince Jan 13, 2025 Accepting new patients
St. Nicholas Hospital-Sisters of the Third Order of St Francis Family Medicine Current Accepting new patients
Thedacare, Incorporated Family Medicine CurrentSince Mar 1, 2020 Accepting new patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis Family Medicine Current Accepting new patients
Preferred Emergency Physicians Past Accepting new patients
Preferred Medical, PC Hospitalist Past Accepting new patients
Bluffton Health System LLC Family Medicine Past Accepting new patients
Open Door Health Services, Inc. Past Accepting new patients

Locations (25 of 34)

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

40100 Highway 27
Davenport, FL 33837
Phone (863) 419-2496

701 W Plymouth Ave
Deland, FL 32720
Phone (386) 943-3160

1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

3832 Solutions Ctr
Chicago, IL 60677

303 S Main St
Bluffton, IN 46714
Phone (260) 824-0800

7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088

7952 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 435-2999

102 E Culver Rd
Knox, IN 46534
Phone (574) 772-1580

1331 State St
Laporte, IN 46350
Phone (219) 326-2415

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111

221 N Celia Ave
Muncie, IN 47303
Phone (765) 747-3141

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

1000 N 16th St
New Castle, IN 47362
Phone (765) 521-0890

2200 Forest Ridge Pkwy
New Castle, IN 47362
Phone (765) 521-7385

1758 W 100 S
Portland, IN 47371
Phone (260) 726-1814

430 W Votaw St
Portland, IN 47371
Phone (260) 726-7616

500 W Votaw St
Portland, IN 47371
Phone (260) 726-6515

430 W Votaw St
#A
Portland, IN 47371
Phone (219) 726-8086

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

272 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-4275

181 Taylor Ave
Columbus, OH 43203
Phone (614) 257-2358

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 29

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 29

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1730189499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 LAKELAND HILLS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338053065",
            "telephone_number": "863-680-7000",
            "fax_number": "866-264-8519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 LAKELAND HILLS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338053065",
            "telephone_number": "863-680-7000",
            "fax_number": "866-264-8519"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 N 16th St",
            "address_purpose": "LOCATION",
            "city": "New Castle",
            "state": "IN",
            "postal_code": "473624319",
            "country_code": "US",
            "telephone_number": "765-521-0890",
            "fax_number": "765-521-1555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6600 Madison St",
            "address_2": "2nd Floor",
            "address_purpose": "LOCATION",
            "city": "New Port Richey",
            "state": "FL",
            "postal_code": "346521971",
            "country_code": "US",
            "telephone_number": "727-815-7207",
            "fax_number": "727-266-4951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "MARVIN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01039483",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WI",
            "license": "62200-20",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "01039483",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME119775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmcbride425424@ewd.direct.hshs.org",
            "affiliation": "Y",
            "affiliationName": "St Vincent Hospital-Hospital Sisters-Third Order of St Francis",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "835 S Van Buren St",
            "city": "Green Bay",
            "state": "WI",
            "country_code": "US",
            "postal_code": "543013526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.