Organization Active NPI

Central Palm Beach Physicians & Urgent Care, Inc.

Doing business as Medical Center of the Palm Beaches

  • Specialist
  • West Palm Beach, FL
National Provider Identifier
1871825372
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
HCC5777 Issued in FL
Legal business name
CENTRAL PALM BEACH PHYSICIANS & URGENT CARE, INC.
Doing business as
Medical Center of the Palm Beaches
Practice address
8200 Okeechobee Blvd
West Palm Beach, FL 33411-2003
Phone
(561) 964-1111
Fax
(561) 967-3144
NPI assigned
Feb 8, 2010
Last updated
Jan 11, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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

Authorized official

Name
Dr. Russ M Seger, DCNPI 1699742155
Title
Ceo / President
Phone
(561) 967-8888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X HCC5777 FL Primary

Addresses

Primary practice location

8200 Okeechobee Blvd
West Palm Beach, FL 33411-2003

Mailing address

4623 Forest Hill Blvd
Suite 101
West Palm Beach, FL 33415-9120
Phone (561) 966-7194

Other identifiers 1

IdentifierTypeStateIssuer
24454OtherFLFL BLUE GROUP #

Other names 1

  • Medical Center of the Palm Beaches Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040519000134 FL Part B Supplier - Clinic/Group Practice 1153314901 Receives reassigned benefits from 37 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fort Lauderdale, FL; West Palm Beach, FL; Port Saint Lucie, FL; Plantation, FL; Coral Springs, FL; Boca Raton, FL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1265587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484092800000",
    "number": "1871825372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4623 FOREST HILL BLVD",
            "address_2": "SUITE 101",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334159120",
            "telephone_number": "561-966-7194",
            "fax_number": "561-966-7191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 OKEECHOBEE BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334112003",
            "telephone_number": "561-964-1111",
            "fax_number": "561-967-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PALM BEACH PHYSICIANS & URGENT CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-08",
        "last_updated": "2017-01-11",
        "status": "A",
        "authorized_official_last_name": "SEGER",
        "authorized_official_first_name": "RUSS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO / PRESIDENT",
        "authorized_official_telephone_number": "561-967-8888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "HCC5777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL BLUE GROUP #",
            "identifier": "24454",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Center of the Palm Beaches",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.