NPIMap

Organization Active NPI

Branch Medical Clinic NTTC Pensacola

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Pensacola, FL
National Provider Identifier
1922208487
Registry record updated Nov 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X
Legal business name
BRANCH MEDICAL CLINIC NTTC PENSACOLA
Practice address
765 6TH St
Pensacola, FL 32511-5119
Phone
(850) 452-6326
NPI assigned
Jul 23, 2007
Last updated
Nov 14, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
NAVAL HOSPITAL PENSACOLAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 14, 2017

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

Authorized official

Name
William M Condon
Title
Bumed Ubo
Phone
(240) 401-3643

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military/U.S. Coast Guard Outpatient Clinic/Center 261QM1100X NU Primary

Addresses

Primary practice location

765 6TH St
Pensacola, FL 32511-5119

Mailing address

6000 W Highway 98
Pensacola, FL 32512-0001
Phone (850) 505-6309

National Provider Directory

National Provider Directory
Tax ID family
Baptist Health Care - Navy Resource Sharing25 organizations share this tax ID, including this one
Part of
Baptist Health Care - Navy Resource Sharing

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

Locations

6000 W Highway 98
Pensacola, FL 32512
Phone (850) 505-6472

765 6th St
Pensacola, FL 32511
Phone (850) 452-6326

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": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510617600000",
    "number": "1922208487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 W HIGHWAY 98",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325120001",
            "telephone_number": "850-505-6309",
            "fax_number": "850-505-6908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 6TH ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325115119",
            "telephone_number": "850-452-6326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANCH MEDICAL CLINIC NTTC PENSACOLA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NAVAL HOSPITAL PENSACOLA",
        "enumeration_date": "2007-07-23",
        "last_updated": "2017-11-14",
        "status": "A",
        "authorized_official_last_name": "CONDON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BUMED UBO",
        "authorized_official_telephone_number": "240-401-3643"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2017; 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.