NPIMap

Organization Active NPI

Key Bridge GP Inc

  • Family Medicine Physician
  • Key West, FL
National Provider Identifier
1821591447
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
KEY BRIDGE GP INC
Practice address
1111 12TH St Ste 101
Key West, FL 33040-4084
Phone
(305) 783-3677
NPI assigned
Mar 9, 2018
Organization subpart
Yes
Parent organization
KEY BRIDGE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Authorized official

Name
Michael Rogers, LMHCNPI 1760892038
Title
President
Phone
(305) 783-3677

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary
Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

1111 12TH St Ste 101
Key West, FL 33040-4084

Mailing address

1111 12TH St Ste 101
Key West, FL 33040-4084
Phone (305) 783-3677

Other practice location 1

8650 W Sample Rd
Coral Springs, FL 33065-4431
Phone (305) 783-3677

Other identifiers 1

IdentifierTypeStateIssuer
022807200MedicaidFL

National Provider Directory

National Provider Directory
Part of
Key Bridge Inc

Locations

8650 W Sample Rd
Coral Springs, FL 33065
Phone (305) 783-3677

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 7

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": "1520553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1821591447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 12TH ST STE 101",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330404084",
            "telephone_number": "305-783-3677",
            "fax_number": "305-407-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 12TH ST STE 101",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330404084",
            "telephone_number": "305-783-3677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8650 W Sample Rd",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330654431",
            "country_code": "US",
            "telephone_number": "305-783-3677",
            "fax_number": "305-407-3395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KEY BRIDGE GP INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KEY BRIDGE, INC.",
        "enumeration_date": "2018-03-09",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-783-3677",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022807200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Key West, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.