Jerry W Bishop, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME92732 Issued in FL

Practice address

13933 17TH St Ste 101
Dade City, FL 33525-4604

Phone

(352) 567-6763

Fax

(352) 567-2146

NPI assigned

May 24, 2005

Last updated

Feb 10, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jbishop73656@adventhealth.direct-ci.com

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.

• Adventhealth Primary Care Network Inc

  • Family Medicine Physician
  • Altamonte Springs, FL
  • NPI 1093493637
  Medicare reassignment NPD
• Florida Hospital Physician Group Inc

  dba AdventHealth Medical Group

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1174955256
  Medicare reassignment NPD
• Healthpoint Medical Group Inc

  • Pediatrics Physician
  • Clearwater, FL
  • NPI 1508996083

  Family Medicine

  NPD (past)
• St Anthony's Primary Care LLC

  • Family Medicine Physician
  • Clearwater, FL
  • NPI 1629029897
  NPD (past)

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1982607875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13933 17TH ST STE 101",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335254604",
            "telephone_number": "352-567-6763",
            "fax_number": "352-567-2146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13933 17TH ST STE 101",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335254604",
            "telephone_number": "352-567-6763",
            "fax_number": "352-567-2146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "JERRY",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME92732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole A Berti-Mansour, N.P.
• Carla A Bevins, M.S. CCC S/LP
• Beyond Potential Behavior LLC
• Biomedex LLC
• Biomedex LLC
• Meghan Bisson
• Jeannine Blackwell, LCSW
• Coral Lynn Blake, MSCP
• Daddy Nimoh Boateng, PHARMD
• Robert H. Booker, AP/DOM

• Family Medicine Physician in Dade City, FL
• Providers in Dade City, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.