JBRC MEDICAL LLC NPI 1902144140

NPI Information

  • NPI: 1902144140
  • Provider Name: JBRC MEDICAL, LLC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • CLIA Number: 10D2082138
  • Address: 1802 NE JENSEN BEACH BLVD
    JENSEN BEACH, FL
    ZIP 34957
  • Phone: (772) 252-1235

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NPI Details

JBRC MEDICAL, LLC is a specialist in Jensen Beach, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. JBRC MEDICAL, LLC NPI is 1902144140. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1802 NE JENSEN BEACH BLVD
JENSEN BEACH, FL
ZIP 34957-234
Phone: (772) 252-1235
Fax: (772) 252-1236

The provider's authorized official is Christopher Hall .
The authorized official title is Director Of Billing and has the following contact phone number (772) 261-3422.

The CLIA number assigned to this NPI record is 10D2082138 - other - in patient drug treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/23/2013 and was last updated on 12/27/2019.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171100000XAcupuncturistAP 1330FLORIDANo
2174400000XSpecialistMA 55754FLORIDAYes
32084P0802XPsychiatry & NeurologyAddiction PsychiatryME61588FLORIDANo
4363AM0700XPhysician AssistantMedicalPA9104027FLORIDANo

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: 11/21/2025

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