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BAPTIST PHYSICIAN GROUP LLC NPI 1427573757


NPI Information

NPI: 1427573757
Provider Name: BAPTIST PHYSICIAN GROUP LLC
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
5100 N 12TH AVE STE 102
PENSACOLA, FL
ZIP 32504
Phone: (850) 437-8592
Get Directions

BAPTIST PHYSICIAN GROUP LLC is an orthopaedic surgery in Pensacola, FL. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. BAPTIST PHYSICIAN GROUP LLC NPI is 1427573757. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5100 N 12TH AVE STE 102
PENSACOLA, FL
ZIP 32504-919
Phone: (850) 437-8592
Fax: (850) 437-8599

The provider's authorized official is Bryon Scott Raynes .
The authorized official title is President and has the following contact phone number (850) 469-2319.

The enumeration date for this NPI number is 8/8/2017 and was last updated on 8/8/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12081S0010XPhysical Medicine & RehabilitationSports MedicineNo
2363A00000XPhysician AssistantNo
3207QS0010XFamily MedicineSports MedicineNo
4207X00000XOrthopaedic SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1110608MEDICAIDALABAMA
2001330100MEDICAIDFLORIDA
339662OTHERFLORIDAFLORIDA BLUE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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