Individual provider Active NPI

Gary Lee Badzinski, DO

  • Cardiovascular Disease Physician
  • Panama City, FL
National Provider Identifier
1821094327
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
OS9663 Issued in FL
Practice address
449 W 23Rd St
Panama City, FL 32405-4507
Phone
(850) 769-8341
NPI assigned
Jun 21, 2005
Last updated
May 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X OS9663 FL Primary
Cardiovascular Disease Physician 207RC0000X 2017-00150 NC
Cardiovascular Disease Physician 207RC0000X 3416 OK

Addresses

Primary practice location

449 W 23Rd St
Panama City, FL 32405-4507

Mailing address

19011 SE Outrigger LN
Jupiter, FL 33458-1083
Phone (918) 978-6977

Other identifiers 1

IdentifierTypeStateIssuer
100088510AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20210819002155 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1759449663 Reassigns benefits to 1 organization
I20221013000378 NC Practitioner - Cardiovascular Disease (Cardiology) 1759449663

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Oklahoma State University College of Osteopathic Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulf Coast Multispeciality Services, LLCGroup PAC ID 2466555339, 19 clinicians

Practice addresses (Care Compare)

2202 State Ave
Suite 303
Panama City, FL 32405-4590
Phone (850) 872-3939

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS9663FLMDCardiovascular Disease Physician
2017-00150NCMDCardiovascular Disease Physician
3416OKMDCertified Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Multispeciality Services, LLC CurrentSince Aug 15, 2022 Accepting new patients
Cardiology Services of Enid Cardiovascular Disease Past Accepting new patients
Osumc Professional Services LLC Cardiovascular Disease Past Accepting new patients
Uhs of Oklahoma Inc Past Accepting new patients

Locations

2202 State Ave
Ste 303
Panama City, FL 32405
Phone (850) 784-1856

449 W 23rd St
Panama City, FL 32405
Phone (850) 747-7900

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1821094327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19011 SE OUTRIGGER LN",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334581083",
            "telephone_number": "918-978-6977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 W 23RD ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054507",
            "telephone_number": "850-769-8341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADZINSKI",
        "first_name": "GARY",
        "middle_name": "LEE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "OS9663",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "2017-00150",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OK",
            "license": "3416",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100088510A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.