BLUEROCK MEDICAL LLC
NPI 1386408706
Family Medicine in Sebring, FL
About Bluerock Medical Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLUEROCK MEDICAL LLC (NPI 1386408706) is a healthcare organization registered as a family medicine in Sebring, Florida and active in the NPI registry since February 2024. The organization holds a CLIA Waiver certificate valid through March 14, 2028 and lists Jennie Leclair Spencer, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Identifiers 1
Group Practice 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D2300789
Bluerock Medical LLC · Sebring, FLOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Bluerock Medical LLC's NPI number?
The NPI number for Bluerock Medical LLC is 1386408706. It was assigned to this organization in the NPPES registry on February 7, 2024.
Where is Bluerock Medical LLC located?
Bluerock Medical LLC is located at 810 N Ridgewood Dr, Sebring, FL 33870. The listed phone number is (863) 873-0072.
What is Bluerock Medical LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Does Bluerock Medical LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2300789) is associated with this NPI, valid through March 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Bluerock Medical LLC was last updated on March 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Bluerock Medical Llc · NPI 1386408706
Family Medicine organization in Sebring, Florida. Organization record, active in the CMS NPPES registry since February 7, 2024.
## Identity
- **NPI:** 1386408706 (Entity type: Organization)
- **Enumerated:** February 7, 2024
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Jennie Spencer, OWNER
## Practice location
- **Address:** 810 N RIDGEWOOD DR, Sebring, FL 33870-7217
- **Phone:** (863) 873-0072
## Record status
- **NPPES last updated:** March 4, 2024
- **Other identifiers:** Other 1164189015 (FL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1386408706) · Data from the CMS NPPES public registry.