Organization Active NPI

Premier Medical Concierge, LLC

  • Medical Specialty Clinic/Center
  • Naples, FL
National Provider Identifier
1841847597
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
PREMIER MEDICAL CONCIERGE, LLC
Practice address
9655 Tamiami TRL N Ste 202
Naples, FL 34108-2796
Phone
(239) 249-4191
Fax
(239) 631-6872
NPI assigned
Aug 19, 2019
Last updated
Aug 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Authorized official

Name
Dr. Joseph Paul Bandeira, MDNPI 1588093512
Title
Owner/Manager
Phone
(239) 249-4191

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

9655 Tamiami TRL N Ste 202
Naples, FL 34108-2796

Mailing address

9655 Tamiami TRL N Ste 202
Naples, FL 34108-2796
Phone (239) 249-4191

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2176287Premier Medical Concierge9655 Tamiami Trail N Suite 202, Naples, FL 34108Certificate of waiverDec 10, 2027

National Provider Directory

National Provider Directory

Locations

9655 Tamiami Trl N
Ste 202
Naples, FL 34108
Phone (239) 249-4191

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/96f8a1f0-44bc-4559-a027-d622dd33d06e/

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566172800000",
    "number": "1841847597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9655 TAMIAMI TRL N STE 202",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341082796",
            "telephone_number": "239-249-4191",
            "fax_number": "239-631-6872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9655 TAMIAMI TRL N STE 202",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341082796",
            "telephone_number": "239-249-4191",
            "fax_number": "239-631-6872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MEDICAL CONCIERGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-19",
        "last_updated": "2019-08-19",
        "status": "A",
        "authorized_official_last_name": "BANDEIRA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "239-249-4191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.