BAYFRONT HEALTH MEDICAL GROUP – NPI #1124794615
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

BAYFRONT HEALTH MEDICAL GROUP is a provider located in BROOKSVILLE, FL. NPPES has assigned the NPI number 1124794615 to BAYFRONT HEALTH MEDICAL GROUP on August 17, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BAYFRONT HEALTH MEDICAL GROUP” is a dba name, the actual legal business name for this organization is BROOKSVILLE HMA PHYSICIAN MANAGEMENT LLC. The primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was previously updated about 4 years ago on Mar 07, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BAYFRONT HEALTH MEDICAL GROUP below.

NPI Profile for
BROOKSVILLE HMA PHYSICIAN MANAGEMENT LLC

NPI Number
1124794615
Enumeration Date

(about 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BROOKSVILLE HMA PHYSICIAN MANAGEMENT LLC
Doing Business As (dba): BAYFRONT HEALTH MEDICAL GROUP
Primary location
17222 HOSPITAL BLVD STE 116
BROOKSVILLE, FL 34601-8925
Phone: (352) 754-3565 Fax: (352) 606-2711
Mailing address
PO BOX 689022
FRANKLIN, TN 37068-9022
Phone: (615) 465-7211 Fax: (615) 628-6877
Organization Subpart
No
Authorized Official
JENNIFER JACKSON
SR DIR PROV ENROLLMENT & ONBOARDING
Phone: (615) 465-3334
Updated
Certification Date
Mar 07, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for BAYFRONT HEALTH MEDICAL GROUP

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDFLPENDING
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207R00000X
- Internal Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.