Individual provider Active NPI

Julio A Silva, MD

  • Family Medicine Physician
  • Crestview, FL
National Provider Identifier
1801867973
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME88983 Issued in FL
Practice address
127 E Redstone Ave
Suite C
Crestview, FL 32539-5358
Phone
(850) 423-0061
Fax
(850) 537-9954
NPI assigned
Jan 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2007

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 ME88983 FL Primary

Addresses

Primary practice location

127 E Redstone Ave
Suite C
Crestview, FL 32539-5358

Mailing address

7100 Commerce Way
Suite 180
Brentwood, TN 37027-2829
Phone (615) 465-7000

Other identifiers 2

IdentifierTypeStateIssuer
270544300MedicaidFL
43295OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20090105000298 AL Practitioner - Family PracticePractitioner - Emergency Medicine 5193612307 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME88983FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
WH Services Brewton LLC CurrentSince Oct 23, 2023 Accepting new patients
North Okaloosa Clinic Corp Family Medicine PastSince Sep 7, 2012 Accepting new patients
North Okaloosa Clinic Corp Past Accepting new patients

Locations

1301 Belleville Ave
Brewton, AL 36426
Phone (251) 809-8439

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195430400000",
    "number": "1801867973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 COMMERCE WAY",
            "address_2": "SUITE 180",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272829",
            "telephone_number": "615-465-7000",
            "fax_number": "615-309-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 E REDSTONE AVE",
            "address_2": "SUITE C",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325395358",
            "telephone_number": "850-423-0061",
            "fax_number": "850-537-9954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVA",
        "first_name": "JULIO",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2007-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME88983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270544300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "43295",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview, FL

Sources for this page

Verify at the official NPI Registry.