1. Home
  2. Directory
  3. Florida
  4. Port Saint Lucie
  5. Family Medicine
  6. NPI Profile

REGENERATIVE MEDICAL GROUP
NPI 1578928867
Family Medicine in Port Saint Lucie, FL

Active since December 31, 2015
1400 SE GOLDTREE DR, STE 207, PORT SAINT LUCIE, FL 34952(772) 777-2836 Get Directions Write a Review

NPPES record last updated: December 31, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Regenerative Medical Group NPPES

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

REGENERATIVE MEDICAL GROUP (NPI 1578928867) is a healthcare organization registered as a family medicine in Port Saint Lucie, Florida and active in the NPI registry since December 2015. The organization lists Bryn J Henderson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1578928867
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameREGENERATIVE MEDICAL GROUP
Location Address1400 SE GOLDTREE DR, STE 207Port Saint Lucie, FL 34952-7582
Mailing Address600 E Chapman AveOrange, CA 92866-1605 · (714) 639-4012
Phone(772) 777-2836
Organization SubpartNo
Authorized OfficialBryn J HendersonCeo · (714) 981-8058
Enumeration DateDecember 31, 2015
✔ NPI 1578928867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 035817
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.
1400 SE GOLDTREE DR, Port Saint Lucie, FL 34952
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINIG494AFL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

DR. SHANE DONALD WHITELEY DC
Chiropractor
1400 SE GOLDTREE DR, # 207
PORT ST LUCIE, FL 34952
St. Lucie County (772) 777-2836
ADAM D KURTIN D.O.
Surgery
1400 SE GOLDTREE DR, SUITE 102-104
PORT ST LUCIE, FL 34952
St. Lucie County (772) 335-8446
PREMIER PHYSICAL THERAPY SPORT MEDICINE INC
Physical Therapist
1400 SE GOLDTREE DR, STE 205
PORT ST LUCIE, FL 34952
St. Lucie County (772) 335-7966
RENE MARIO LOYOLA M.D.
Internal Medicine
1400 SE GOLDTREE DR, SUITE 102-104
PORT ST LUCIE, FL 34952
St. Lucie County (772) 335-8446
TOTAL HEALTH ASSOCIATES, LLC
Chiropractor
1400 SE GOLDTREE DR, 207
PORT SAINT LUCIE, FL 34952
St. Lucie County (772) 777-2836
DR. CALEB SCHOLL
Physical Therapist
1400 SE GOLDTREE DR, SUITE 101
PORT SAINT LUCIE, FL 34952
St. Lucie County (772) 335-7966
JEFFREY ALAN TUCKER MSPT
Physical Therapist
1400 SE GOLDTREE DR, SUITE 205
PORT ST LUCIE, FL 34952
St. Lucie County (772) 335-7966

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 Regenerative Medical Group's NPI number?

The NPI number for Regenerative Medical Group is 1578928867. It was assigned to this organization in the NPPES registry on December 31, 2015.

Where is Regenerative Medical Group located?

Regenerative Medical Group is located at 1400 SE Goldtree Dr Ste 207, Port Saint Lucie, FL 34952. The listed phone number is (772) 777-2836.

What is Regenerative Medical Group'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 Regenerative Medical Group was last updated on December 31, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.