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BAPTIST PHYSICIAN GROUP LLC NPI 1720322811


NPI Information

NPI: 1720322811
Provider Name: BAPTIST PHYSICIAN GROUP LLC
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
9400 UNIVERSITY PKWY
SUITE 309
PENSACOLA, FL
ZIP 32514
Phone: (850) 479-3320
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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 1720322811. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9400 UNIVERSITY PKWY
SUITE 309
PENSACOLA, FL
ZIP 32514-752
Phone: (850) 479-3320
Fax: (850) 479-8789

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 11/15/2012 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
1363A00000XPhysician AssistantNo
2207X00000XOrthopaedic SurgeryME69848FLORIDAYes

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
239662OTHERFLORIDAFLORIDA BLUE
3001330100MEDICAIDFLORIDA

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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