Integra Concierge Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

INTEGRA CONCIERGE MEDICINE

Practice address

10175 Fortune Pkwy Unit 204
Jacksonville, FL 32256-6748

Phone

(904) 619-3609

Fax

(904) 900-2225

NPI assigned

Oct 27, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Paul Busse, MDNPI 1740520741

Title

Ceo

Phone

(904) 619-3609

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Busse, M.D.

  • Family Medicine Physician
  • Jacksonville, FL
  • NPI 1740520741
  NPD Authorized official

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

{
    "created_epoch": "1761523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785801600000",
    "number": "1992673305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10175 FORTUNE PKWY UNIT 204",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566748",
            "telephone_number": "904-619-3609",
            "fax_number": "904-900-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10175 FORTUNE PKWY UNIT 204",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566748",
            "telephone_number": "904-619-3609",
            "fax_number": "904-900-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRA CONCIERGE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-27",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A",
        "authorized_official_last_name": "BUSSE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-619-3609",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Jacksonville, FL
• Providers in Jacksonville, 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 Aug 4, 2026; 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.