Organization Active NPI

Doctor G Medical LLC

  • Internal Medicine Physician
  • Coconut Creek, FL
National Provider Identifier
1740099746
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DOCTOR G MEDICAL LLC
Practice address
4243 W Hillsboro Blvd
Coconut Creek, FL 33073-3213
Phone
(954) 638-1515
Fax
(754) 755-6577
NPI assigned
Jan 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Authorized official

Name
Dr. Bernard Garcia, MD
Title
Medical Doctor Director
Phone
(954) 707-2945

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

4243 W Hillsboro Blvd
Coconut Creek, FL 33073-3213

Mailing address

4243 W Hillsboro Blvd
Coconut Creek, FL 33073-3213
Phone (954) 638-1515

Other names 1

  • DOCTOR G MEDICAL LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1735862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735862400000",
    "number": "1740099746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4243 W HILLSBORO BLVD",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330733213",
            "telephone_number": "954-638-1515",
            "fax_number": "754-755-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4243 W HILLSBORO BLVD",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330733213",
            "telephone_number": "954-638-1515",
            "fax_number": "754-755-6577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR G MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-03",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_title_or_position": "MEDICAL DOCTOR DIRECTOR",
        "authorized_official_telephone_number": "954-707-2945",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOCTOR G MEDICAL LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coconut Creek, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.