Individual provider Active NPI

Jared M Bump, DO

  • Family Medicine Physician
  • Santa Rosa Beach, FL
National Provider Identifier
1730683129
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS17380 Issued in FL
Practice address
96 Conner Cir
Santa Rosa Beach, FL 32459-5027
Phone
(561) 713-4166
NPI assigned
Mar 20, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS17380 FL Primary

Addresses

Primary practice location

96 Conner Cir
Santa Rosa Beach, FL 32459-5027

Mailing address

96 Conner Cir
Santa Rosa Beach, FL 32459-5027
Phone (561) 713-4166

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210519002804 FL Practitioner - Family Practice 5294161261 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Floridian Hospitalist Services LLCGroup PAC ID 8527297217, 23 clinicians

Practice addresses (Care Compare)

151 E Redstone Ave
Crestview, FL 32539-5352
Phone (850) 689-8100

Hospital & facility affiliations

  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • North Okaloosa Medical Center Hospital, Crestview, FL, CCN 100122
  • HCA Florida West Hospital Hospital, Pensacola, FL, CCN 100231

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Floridian Hospitalist Services, LLC Current Accepting new patients
Floridian Hospitalist Services, LLC CurrentSince Jan 20, 2023 Accepting new patients

Locations

151 E Redstone Ave
Crestview, FL 32539
Phone (850) 629-8515

250 N Wickham Rd
Melbourne, FL 32935
Phone (321) 637-2600

Organizations & group practices 2

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.

Hospital & facility affiliations 6

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": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1730683129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 CONNER CIR",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324595027",
            "telephone_number": "561-713-4166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 CONNER CIR",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324595027",
            "telephone_number": "561-713-4166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUMP",
        "first_name": "JARED",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-20",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS17380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa Beach, FL

Sources for this page

Verify at the official NPI Registry.