JBRC MEDICAL, LLC
NPI 1902144140
Specialist in Jensen Beach, FL

Active since January 23, 2013
1802 NE JENSEN BEACH BLVD, JENSEN BEACH, FL 34957(772) 252-1235(772) 252-1236 Get Directions Write a Review

NPPES record last updated: December 27, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jbrc Medical, Llc NPPES

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

JBRC MEDICAL, LLC (NPI 1902144140) is a healthcare organization registered as a specialist in Jensen Beach, Florida and active in the NPI registry since January 2013. The organization lists Christopher Hall, Director Of Billing, as its authorized official.

NPPES Registry Identity

NPI1902144140
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameJBRC MEDICAL, LLC
Location Address1802 NE JENSEN BEACH BLVDJensen Beach, FL 34957-7234
Mailing Address1802 Ne Jensen Beach BlvdJensen Beach, FL 34957-7234 · (772) 252-1235 · Fax (772) 252-1236
Fax(772) 252-1236
Organization SubpartNo
Authorized OfficialChristopher HallDirector Of Billing · (772) 261-3422
Enumeration DateJanuary 23, 2013
Last NPPES UpdateDecember 27, 2019
NPI 1902144140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in FL · MA 55754
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedAcupuncturistTaxonomy 171100000X · License AP 1330 (FL)
Also ListedPsychiatry & Neurology · Addiction PsychiatryTaxonomy 2084P0802X · License ME61588 (FL)
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA9104027 (FL)
1802 NE JENSEN BEACH BLVD, Jensen Beach, FL 34957

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

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 10D2082138

Jbrc · Port Saint Lucie, FL
Expired · Aug 6, 2026
CLIA Number10D2082138
Laboratory TypeIn Patient Drug Treatment
Certificate Effective DateAugust 7, 2024
Certificate Expiration DateAugust 6, 2026
Laboratory DirectorCynthia Bellino
Laboratory Phone(772) 252-1235
Laboratory LocationJbrc699 NW Airso Blvd, Port Saint Lucie, FL 34983
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Substance Abuse Rehabilitation Facility
1802 NE JENSEN BEACH BLVD
JENSEN BEACH, FL 34957

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 Jbrc Medical, LLC's NPI number?

The NPI number for Jbrc Medical, LLC is 1902144140. It was assigned to this organization in the NPPES registry on January 23, 2013.

Where is Jbrc Medical, LLC located?

Jbrc Medical, LLC is located at 1802 NE Jensen Beach Blvd, Jensen Beach, FL 34957. The listed phone number is (772) 252-1235.

What is Jbrc Medical, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jbrc Medical, LLC was last updated on December 27, 2019. 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.