JESSICA LYNN BACON D.O.
NPI 1275761033
Family Medicine in Madeira Beach, FL

Q: What is Jessica Bacon's NPI number?

The NPI number for Jessica Bacon is 1275761033. It was assigned to this individual provider in the NPPES registry on June 30, 2009.

Q: What is Jessica Bacon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Bacon was last updated on September 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 30, 2009

13495 GULF BLVD, MADEIRA BEACH, FL 33708(727) 391-4100(727) 398-2067 Get Directions Write a Review

NPPES record last updated: September 21, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jessica Lynn Bacon D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA LYNN BACON D.O. (NPI 1275761033) is an individual family medicine provider in Madeira Beach, Florida, licensed in Florida (NA) and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1275761033

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameJESSICA LYNN BACONCredential: D.O.

Location Address13495 GULF BLVDMadeira Beach, FL 33708-2515

Mailing Address13495 Gulf BlvdMadeira Beach, FL 33708-2515 · (727) 391-4100 · Fax (727) 398-2067

Phone(727) 391-4100

Fax(727) 398-2067

Sole ProprietorYes

Enumeration DateJune 30, 2009

Last NPPES UpdateSeptember 21, 2016

✔ NPI 1275761033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · NA

Definition

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.

13495 GULF BLVD, Madeira Beach, FL 33708

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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT P FEDOR D.O.

Family Medicine

13495 GULF BLVD
MADEIRA BEACH, FL 33708

Pinellas County (727) 391-4100

MRS. REBECCA KLOPP FEDOR MEDCCCSLP

Speech-Language Pathologist

13495 GULF BLVD
MADEIRA BEACH, FL 33708

Pinellas County (727) 391-4100

CARL W OCKEN LMT

Contractor

13495 GULF BLVD
MADEIRA BEACH, FL 33708

Pinellas County (727) 418-2387

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Bacon's NPI number?

The NPI number for Jessica Bacon is 1275761033. It was assigned to this individual provider in the NPPES registry on June 30, 2009.

Where is Jessica Bacon located?

Jessica Bacon practices at 13495 Gulf Blvd, Madeira Beach, FL 33708. The listed phone number is (727) 391-4100.

What is Jessica Bacon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Jessica Bacon was last updated on September 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.