REGENERATIVE MEDICAL GROUP INC (NPI# 1548732159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548732159 |
| Entity Type | Organization |
| Organization Name | REGENERATIVE MEDICAL GROUP INC |
| Practice Address |
2624 S Us1 Fort Pierce FL 34982 |
| Mailing Address |
615 E Chapman Ave Orange CA 92866-1643 |
| Practice Telephone | 7722077534 |
| Mailing Telephone | 7146394012 |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2018-12-20 |
| Authorized Official Name | BRYN JARALD HENDERSON (OWNER) |
| Authorized Official Telephone | 7146394012 |
| Is Organization Subpart | Y |
| Parent Organization Name | REGENERATIVE MEDICAL GROUP INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821557281 | Regenerative Medical Group Inc | Family Medicine | 2005 N 2nd St, Booneville, MS 38829-7728 | 2019-03-15 |
| 1366051419 | Regenerative Medical Group Inc | Family Medicine | 54910, Pine Crest Avenue, Idyllwild, CA 92549 | 2020-07-24 |
| 1801368345 | Regenerative Medical Group Inc | Internal Medicine | 11415 Slater Ave Ne Ste 102, Kirkland, WA 98033-4656 | 2018-12-21 |
| 1659843274 | Regenerative Medical Group Inc | Family Medicine | 711 E Chapman Ave, Orange, CA 92866-1620 | 2018-12-20 |
| 1013328277 | Regenerative Medical Group Inc | Family Medicine | 615 E Chapman Ave, Orange, CA 92866-1643 | 2014-05-09 |
| Street Address |
2624 S US1 |
| City | FORT PIERCE |
| State | FL |
| Zip Code | 34982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932759305 | Carehere LLC | Family Medicine | Carehere Clinic- St. Lucie Employee Health and Wellness, 2200 Virginia Avenue, Fort Pierce, FL 34982 | 2019-09-17 |
| 1609352905 | Shapiro Family Dentistry of Fort Pierce Pa | Dentist | Coral Square Shoppes 3006 Us Highway 1, Suite D2/d3, Fort Pierce, FL 34982 | 2018-07-19 |
| 1821585514 | Coralis Ivette Reyes | Social Worker | 2814 South U.S. Hwy1, Suite D4, Fort Pierce, FL 34982 | 2018-04-18 |
| 1720509441 | Quality Care Holdings Inc | Non-emergency Medical Transport (VAN) | 3247 Oleander Ave Suite A5, Fort Pierce, FL 34982 | 2017-07-03 |
| 1770013377 | Kira Patricia Omeally | Assistant Behavior Analyst | 2106 Linda Sue Circle #105, Fort Pierce, FL 34982 | 2017-06-15 |
| 1124557483 | Linda S Colebrooke | Marriage & Family Therapist | 2814 South U.S. Hwy 1, Suite D4, Fort Pierce, FL 34982 | 2017-06-08 |
| 1619404845 | Angili Hamilton | Social Worker | 2814 South .s. Hwy 1 Suite D4, Fort. Pierce, FL 34982 | 2017-05-18 |
| 1881146652 | Tasha Daley | Community Health Worker | 3215 S Hwy 1 Suite F, Fort Pierce, FL 34982 | 2016-10-27 |
| 1952792764 | Casper Lockwood | Case Manager/Care Coordinator | 2814 South U.s Hwsy 1, Suite D4, Fort Pierce, FL 34982 | 2015-02-16 |
| 1316338478 | Naomi Brown-youmans | Social Worker | 2814 South U.s Hwy 1, Suite D4, Fort Pierce, FL 34982 | 2015-02-11 |
| Find all providers in zip 34982 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932759305 | Carehere LLC | Family Medicine | Carehere Clinic- St. Lucie Employee Health and Wellness, 2200 Virginia Avenue, Fort Pierce, FL 34982 | 2019-09-17 |
| 1033766027 | Md Primary Care Inc | Family Medicine | 2215 Nebraska Ave Ste 2-b, Fort Pierce, FL 34950-4866 | 2019-08-23 |
| 1841852266 | Misty V Gaddis | Family Medicine | 900 N Rock Rd, Fort Pierce, FL 34945-3483 | 2019-07-05 |
| 1518271345 | Oswaldo D Benitez Md Pa | Family Medicine | 408 S 25th St, Fort Pierce, FL 34947-3638 | 2010-08-04 |
| 1053533760 | Percy D. Kepfer | Family Medicine | 4018 Greenwood Dr, Fort Pierce, FL 34982-6151 | 2007-05-03 |
| 1538245758 | Oswaldo Daniel Benitez Sr. | Family Medicine | 408 South 25th Street, Fort Pierce, FL 34947 | 2006-10-31 |
| 1932281367 | Robert Anderson Pllc | Family Medicine | 778 W Midway Rd, Fort Pierce, FL 34982-4203 | 2006-10-19 |
| 1629171988 | Darshan N Shah | Family Medicine | 2339 S Us Highway 1, Fort Pierce, FL 34982-5920 | 2006-09-05 |
| 1043242787 | James A Roberts | Family Medicine | 1301 N Lawnwood Circle, Fort Pierce, FL 34950 | 2006-07-06 |
| 1093745945 | Andrew Steven Greenberg | Family Medicine | 12098 Orange Ave, Fort Pierce, FL 34945-2024 | 2006-07-04 |
| Find all providers in FORT PIERCE | ||||
| City | FORT PIERCE |
| Zip Code | 34982 |
Please comment or provide details below to improve the information on REGENERATIVE MEDICAL GROUP INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.