BLUEROCK MEDICAL LLC
NPI 1386408706
Family Medicine in Sebring, FL

Active since February 07, 2024
810 N RIDGEWOOD DR, SEBRING, FL 33870(863) 873-0072 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 4, 2024, Feb 7, 2024 (2 updates tracked since 2024).

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 lists Jennie Leclair Spencer, Owner, as its authorized official.

NPPES Registry Identity

NPI1386408706
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBLUEROCK MEDICAL LLC
Location Address810 N RIDGEWOOD DRSebring, FL 33870-7217
Mailing Address505 Summit DrSebring, FL 33870-2341 · (863) 873-0072
Organization SubpartNo
Authorized OfficialJennie Leclair SpencerOwner · (863) 873-0072
Enumeration DateFebruary 7, 2024
Last NPPES UpdateMarch 4, 20242 updates tracked since enumeration
NPPES CertifiedMarch 4, 2024
✔ NPI 1386408706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X
Also ListedClinic/Center · Infusion TherapyTaxonomy 261QI0500X
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X
810 N RIDGEWOOD DR, Sebring, FL 33870

Other Identifiers 1

Other1164189015FL · Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bluerock Medical Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bluerock Medical LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1164189015
810 N RIDGEWOOD DR
Sebring, FL 33870
(863) 658-2611
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Bluerock Medical LLC enrolled in Medicare?

Yes. Bluerock Medical LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bluerock Medical LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Bluerock Medical LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.