Individual provider Active NPI

John Daniel Bocinsky, MD

  • Sports Medicine (Family Medicine) Physician
  • Melbourne, FL
National Provider Identifier
1952978678
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
ME168464 Issued in FL
Practice address
240 N Wickham Rd Ste 108
Melbourne, FL 32935-8663
Phone
(321) 541-1777
Fax
(321) 541-1788
NPI assigned
Jun 10, 2021
Last updated
Sep 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2021021435 MO
Sports Medicine (Family Medicine) Physician 207QS0010X ME168464 FL Primary

Addresses

Primary practice location

240 N Wickham Rd Ste 108
Melbourne, FL 32935-8663

Mailing address

240 N Wickham Rd Ste 108
Melbourne, FL 32935-8663
Phone (321) 541-1777

Other practice location 1

240 N Wickham Rd Ste 104
Melbourne, FL 32935-8663
Phone (321) 541-1777

Other practice location 2

60 Columbia St
Orlando, FL 32806-1115
Phone (407) 649-6876

Other practice location 3

240 N Wickham Rd Ste 102
Melbourne, FL 32935-8663
Phone (321) 541-1777

Other practice location 4

13000 US Highway 1 Ste 5
Sebastian, FL 32958-3773
Phone (772) 581-5881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250819004816 FL Practitioner - Sports Medicine 6002216157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
University of Florida College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians
H2 Rehabilitation Services of Florida LLCGroup PAC ID 3971411851, shared by 10 NPIs, 257 clinicians

Practice addresses (Care Compare)

240 N Wickham Rd
Suite 108
Melbourne, FL 32935-8663
Phone (321) 541-1777

4270 Minton Rd
Suite 120
West Melbourne, FL 32904-9579
Phone (321) 984-2933

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Aug 1, 2025 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Aug 1, 2025 Accepting new patients

Locations

240 N Wickham Rd
Ste 102
Melbourne, FL 32935
Phone (321) 541-1777

240 N Wickham Rd
Ste 104
Melbourne, FL 32935
Phone (321) 242-1325

240 N Wickham Rd
Ste 108
Melbourne, FL 32935
Phone (321) 541-1777

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

52 Underwood St
Orlando, FL 32806
Phone (321) 841-3581

60 Columbia St
Orlando, FL 32806
Phone (407) 515-2420

13000 US Highway 1
Ste 5
Sebastian, FL 32958
Phone (772) 581-5881

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1952978678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 N WICKHAM RD STE 108",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329358663",
            "telephone_number": "321-541-1777",
            "fax_number": "321-541-1788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 N WICKHAM RD STE 108",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329358663",
            "telephone_number": "321-541-1777",
            "fax_number": "321-541-1788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "240 N WICKHAM RD STE 104",
            "address_purpose": "LOCATION",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329358663",
            "country_code": "US",
            "telephone_number": "321-541-1777",
            "fax_number": "321-541-1786",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60 Columbia St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328061115",
            "country_code": "US",
            "telephone_number": "407-649-6876",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "240 N WICKHAM RD STE 102",
            "address_purpose": "LOCATION",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329358663",
            "country_code": "US",
            "telephone_number": "321-541-1777",
            "fax_number": "321-541-1787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13000 US Highway 1 Ste 5",
            "address_purpose": "LOCATION",
            "city": "Sebastian",
            "state": "FL",
            "postal_code": "329583773",
            "country_code": "US",
            "telephone_number": "772-581-5881",
            "fax_number": "772-581-5883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOCINSKY",
        "first_name": "JOHN",
        "middle_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-10",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2021021435",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "FL",
            "license": "ME168464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.