Eric Peter Reigelsberger

Primary specialty

Sports Medicine (Preventive Medicine) PhysicianTaxonomy code 2083S0010X

License

AL4436 Issued in FL

Practice address

4657 Main St
Jupiter, FL 33458-5203

Phone

(305) 480-5232

Fax

(561) 799-3800

NPI assigned

Dec 13, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1576195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1760020366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4035 SABAL LAKES RD",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334451218",
            "telephone_number": "660-676-1544",
            "fax_number": "561-799-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4657 MAIN ST",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585203",
            "telephone_number": "305-480-5232",
            "fax_number": "561-799-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIGELSBERGER",
        "first_name": "ERIC",
        "middle_name": "PETER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-13",
        "last_updated": "2023-11-27",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083S0010X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Sports Medicine",
            "state": "FL",
            "license": "AL4436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOC NUMBER",
            "identifier": "2000009019",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Jupiter",
            "affiliation": "Y",
            "address_1": "4657 Main St",
            "city": "Jupiter",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334585203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Sports Medicine (Preventive Medicine) Physician in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Sports Medicine (Preventive Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.