Active NPI
James Bruce Destephens, M.D.
- Cardiovascular Disease Physician
- Gainesville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- ME0045204
- Practice address
- 2341 NW 41St St
Suite B
Gainesville, FL 32606-7494 - Phone
- (352) 371-1804
- Fax
- (352) 371-2033
- NPI assigned
- Jan 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | ME0045204 | FL | Primary |
Addresses
Primary practice location
2341 NW 41St St
Suite B
Gainesville, FL 32606-7494
Mailing address
2341 NW 41St St
Suite B
Gainesville, FL 32606-7494
Phone (352) 371-1804
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Medical College of Ohio, 1980
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2341 NW 41St St
Suite B
Gainesville, FL 32606-7442
Phone (352) 371-1804
PO Box
Suite 1099
Melrose, FL 32666-1099
Hospital & facility affiliations
- HCA Florida North Florida Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0045204 | FL | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James B Destephens MD PA | Cardiovascular Disease | Current | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
2341 NW 41st St
Ste B
Gainesville, FL 32606
Phone (352) 371-1804
Interoperability endpoints
- james.destephens@djbd-fl.direct.office.nextgen.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Gainesville, FL
- NPI 1639213101
-
- Physical Therapist
- Melrose, FL
- NPI 1376682518
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gainesville, FL
- NPI 1174579155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370390400000",
"number": "1982684460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2341 NW 41ST ST",
"address_2": "SUITE B",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326067494",
"telephone_number": "352-371-1804",
"fax_number": "352-371-2033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2341 NW 41ST ST",
"address_2": "SUITE B",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326067494",
"telephone_number": "352-371-1804",
"fax_number": "352-371-2033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESTEPHENS",
"first_name": "JAMES",
"middle_name": "BRUCE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-19",
"last_updated": "2013-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": "ME0045204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.