JAMES B DESTEPHENS MD PA
NPI 1639213101
Internal Medicine - Cardiovascular Disease in Gainesville, FL

Active since February 17, 2007
2341 NW 41ST ST STE B, GAINESVILLE, FL 32606(352) 371-1804(352) 371-2033 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About James B Destephens Md Pa NPPES

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

JAMES B DESTEPHENS MD PA (NPI 1639213101) is a healthcare organization registered as a cardiovascular disease in Gainesville, Florida and active in the NPI registry since February 2007. The organization lists James Bruce Destephens, Md, as its authorized official.

NPPES Registry Identity

NPI1639213101
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameJAMES B DESTEPHENS MD PA
Location Address2341 NW 41ST ST STE BGainesville, FL 32606-7442
Mailing Address2341 Nw 41st St Ste BGainesville, FL 32606-7442 · (352) 371-1804 · Fax (352) 371-2033
Fax(352) 371-2033
Organization SubpartNo
Authorized OfficialJames Bruce DestephensMd · (352) 371-1804
Enumeration DateFebruary 17, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1639213101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in FL · ME0045204
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
2341 NW 41ST ST STE B, Gainesville, FL 32606

Other Identifiers 2

Other1982684460FL · Npi Attached To Ss No
Other175709FL · Black Lung

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)

James B Destephens Md Pa 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 James B Destephens MD PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Cardiovascular Disease (Cardiology)
NPI 1982684460
2341 NW 41ST ST SUITE B
Gainesville, FL 32606
(352) 371-1804
✔ PECOSSame 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 James B Destephens MD PA's NPI number?

The NPI number for James B Destephens MD PA is 1639213101. It was assigned to this organization in the NPPES registry on February 17, 2007.

Where is James B Destephens MD PA located?

James B Destephens MD PA is located at 2341 NW 41st St Ste B, Gainesville, FL 32606. The listed phone number is (352) 371-1804.

What is James B Destephens MD PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is James B Destephens MD PA enrolled in Medicare?

Yes. James B Destephens MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through James B Destephens MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Cardiovascular Disease (Cardiology)) reassigns their Medicare billing to James B Destephens MD PA. 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 James B Destephens MD PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.