NPIMap

Organization Active NPI

Palm Beach Medical Group LLC

  • Chiropractor
  • West Palm Beach, FL
National Provider Identifier
1922420884
Registry record updated Apr 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9000 Issued in FL
Legal business name
PALM BEACH MEDICAL GROUP LLC
Practice address
1309 S Flagler Dr
Suite 1 & 2
West Palm Beach, FL 33401-6736
Phone
(813) 995-0984
Fax
(813) 280-6193
NPI assigned
Jan 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2016

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

Authorized official

Name
Brian Clukie
Title
Billing
Phone
(813) 996-7272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH9000 FL Primary

Addresses

Primary practice location

1309 S Flagler Dr
Suite 1 & 2
West Palm Beach, FL 33401-6736

Mailing address

1309 S Flagler Dr
Suite 1 & 2
West Palm Beach, FL 33401-6736
Phone (813) 995-0984

National Provider Directory

National Provider Directory

Locations

1309 S Flagler Dr
Ste 1
West Palm Beach, FL 33401
Phone (216) 570-5678

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JFEBAA

NPI Registry JSON

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

{
    "created_epoch": "1389571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461801600000",
    "number": "1922420884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 S FLAGLER DR",
            "address_2": "SUITE 1 & 2",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334016736",
            "telephone_number": "813-995-0984",
            "fax_number": "813-280-6193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 S FLAGLER DR",
            "address_2": "SUITE 1 & 2",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334016736",
            "telephone_number": "813-995-0984",
            "fax_number": "813-280-6193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-13",
        "last_updated": "2016-04-28",
        "status": "A",
        "authorized_official_last_name": "CLUKIE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "813-996-7272"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 28, 2016; 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.