BETHUNE-COOKMAN UNIVERSITY


Address: 640 Dr Mary Mcleod Bethune Blvd, Daytona Beach, FL 32114-3012
Phone: 3864212215

BETHUNE-COOKMAN UNIVERSITY (NPI# 1689076499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689076499
Entity Type Organization
Organization Name BETHUNE-COOKMAN UNIVERSITY
Other Organization Name BETHUNE-COOKMAN SPORTS MEDICINE
Practice Address 640 Dr Mary Mcleod Bethune Blvd
Daytona Beach
FL 32114-3012
Mailing Address 5050 Spring Valley Rd
Dallas
TX 75244-3995
Practice Telephone 3864212215
Mailing Telephone 8005559073
Mailing Fax Number 9723673452
Enumeration Date 2014-09-24
Last Update Date 2014-09-24
Authorized Official Name SCOTT ARMSTRONG (DIRECTOR OF SPORTS MEDICINE)
Authorized Official Telephone 3864812261
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XX0005X Orthopaedic Surgery
Specialization: Sports Medicine
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Bethune-Cookman Sports Medicine Doing Business As Name - Organization

Office Location

Street Address 640 DR MARY MCLEOD BETHUNE BLVD
City DAYTONA BEACH
State FL
Zip Code 32114-3012

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922074293 Brian William Jansen Specialist 640 Dr Mary Mcleod Bethune Blvd, Daytona Beach, FL 32114-3012 2006-02-27
1467052399 Kasiim Shakir Barr Psychologist 640 Dr Mary Mcleod Bethune Blvd, Daytona Beach, FL 32114-3012 2020-10-29
1770199416 Nikkita Nozistel Student in an Organized Health Care Education/Training Program 640 Dr Mary Mcleod Bethune Blvd, Daytona Beach, FL 32114-3012 2020-09-18
1629691985 Sydney Viar Student in an Organized Health Care Education/Training Program 640 Dr Mary Mcleod Bethune Blvd, Daytona Beach, FL 32114-3012 2020-05-21
1154978575 Zumondrae Newsome Specialist/Technologist 640 Dr Mary Mcleod Bethune Blvd, Daytona Beach, FL 32114-3012 2019-08-20
1659859544 Tamera Alexis Demps Specialist/Technologist 640 Dr Mary Mcleod Bethune Blvd, Daytona Beach, FL 32114-3012 2018-08-01
1033697479 Bria Jones Specialist/Technologist 640 Dr Mary Mcleod Bethune Blvd, Daytona Beach, FL 32114-3012 2018-07-28
1295236057 Stephone Delano Devante Baker Kinesiotherapist 640 Dr Mary Mcleod Bethune Blvd, Daytona Beach, FL 32114-3012 2018-02-26
1689128431 Matthew Luers Specialist/Technologist 640 Dr Mary Mcleod Bethune Blvd, Daytona Beach, FL 32114-3012 2016-08-10
1639549272 Neville Willibe Spurgeon Jr. Specialist/Technologist 640 Dr Mary Mcleod Bethune Blvd, Daytona Beach, FL 32114-3012 2015-09-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376161380 Evolution Health & Performance LLC Physician Assistant 244 S. Palmetto Ave, Daytona Beach, FL 32114 2020-07-07
1407480189 Kierra Imani Kinsey Behavior Technician 1128-a Beville Rd, Daytona Beach, FL 32114 2020-03-02
1043776057 Outreach Community Care Network Inc Pharmacy 240 N. Frederick Avenue, Daytona Beach, FL 32114 2019-02-14
1033681861 Katherine Proppe Specialist/Technologist 1 Aerospace Blvd, Daytona Beach, FL 32114 2018-12-18
1841765047 Anna L Smith Nurse Practitioner 339 Bill France Blvd Ste C, Daytona Beach, FL 32114 2018-10-04
1154806933 Steve Anthony Lee Family Medicine 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 2018-09-27
1285116491 Walgreen Co Durable Medical Equipment & Medical Supplies 1348 W International Speedway Blvd Ste 2, Daytona Beach, FL 32114 2018-09-04
1770085656 Merina Lee Occupational Therapist 1159 Australia Ave., Daytona Beach, FL 32114 2018-03-06
1346752755 Hand & Upper Extremity Surgery of Daytona Beach, LLC Non-Pharmacy Dispensing Site 1241 Ridgewood Ave, Daytona Beach, FL 32114 2017-10-26
1104347053 Harry Herman Blanke IIi Family Medicine 201 N Clyde Morris Blvd, Suite 200, Halifax Health Family Medicine Residency Program, Daytona Beach, FL 32114 2017-06-30
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Taxonomy Information

Taxonomy Code 207XX0005X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Sports Medicine

Taxonomy Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073514253 Scott Ian Silas Orthopaedic Surgery 1630 Mason Ave, Daytona Beach, FL 32117-4547 2005-08-10
1922239110 Michael N Fulton Orthopaedic Surgery 3127 W International Speedway Blvd, Daytona Beach, FL 32124-1070 2009-08-05
1295701670 Michael N Fulton Orthopaedic Surgery 3127 W International Speedway Blvd, Daytona Beach, FL 32124-1070 2006-02-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1801401021 Ortho Florida, LLC Orthopaedic Surgery 17425 7th St Ste 560174, Montverde, FL 34756-3206 2020-09-14
1801429022 Ortho Florida, LLC Orthopaedic Surgery 2122 W Cypress Creek Rd Ste 202, Ft Lauderdale, FL 33309-1858 2020-02-17
1750913141 Tyrance Orthopedics and Sports Medicine Orthopaedic Surgery 1620 S Congress Ave Ste 201, Palm Springs, FL 33461-2128 2020-02-04
1255979076 Ortho Florida, LLC Orthopaedic Surgery 2122 W Cypress Crk Rd Ste 202, Fort Lauderdale, FL 33309-1858 2019-12-11
1730740218 Baptist Physician Group LLC Orthopaedic Surgery 133 Racetrack Rd Nw, Fort Walton Beach, FL 32547-1644 2019-06-25
1164984720 Ortho Florida, LLC Orthopaedic Surgery 21097 Ne 27th Ct Ste 590, Aventura, FL 33180-1246 2019-04-03
1578043998 Bahri Orthopedics Institute Orthopaedic Surgery 6100 Kennerly Rd Ste 202, Jacksonville, FL 32216-4379 2018-08-15
1154834489 Dorothy Richardson Orthopaedic Surgery 1120 W Lakeshore Dr, Clermont, FL 34711-2936 2017-11-08
1225541790 Ortho Florida, LLC Orthopaedic Surgery 3702 Washington St Ste 202, Hollywood, FL 33021-8283 2017-11-07
1275046831 Galaxy Wellness Sport and Rehabilitation Center LLC Orthopaedic Surgery 1951 Nw 7th St, Miami, FL 33125 2017-11-06
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Competitor

Search similar providers

City DAYTONA BEACH
Zip Code 32114

Improve Information

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Dataset Information

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.

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