MEDICARE: BAPTIST MEDICAL GROUP LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	2086S0129X	Vascular Surgery Physician
2	2085R0001X	Radiation Oncology Physician
3	207RG0100X	Gastroenterology Physician
4	208800000X	Urology Physician
5	207T00000X	Neurological Surgery Physician
6	207XX0801X	Orthopaedic Trauma Physician
7	207R00000X	Internal Medicine Physician
8	207RR0500X	Rheumatology Physician
9	207VX0201X	Gynecologic Oncology Physician
10	207Y00000X	Otolaryngology Physician
11	208000000X	Pediatrics Physician
12	207RE0101X	Endocrinology, Diabetes & Metabolism Physician
13	207Q00000X	Family Medicine Physician
14	208200000X	Plastic Surgery Physician
15	207RH0003X	Hematology & Oncology Physician

General Provider Information

NPI Number	:	1376779892
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAPTIST MEDICAL GROUP LLC

Provider Business Mailing Address
First Line	:	PO BOX 732892
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75373-2892
Country	:	US
Telephone Number	:	448-227-8053
Fax Number	:

Provider Business Practice Location Address
First Line	:	125 BAPTIST WAY STE 6A
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32503-2274
Country	:	US
Telephone Number	:	448-227-8053
Fax Number	:

Authorized Official
Title or Position	:	DELEGATED OFFICIAL
Name	:	SHARON CREECH
Credential	:
Telephone Number	:	850-475-3726

Provider Enumeration Date	:	06/10/2009
Last Update Date	:	06/17/2026

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Directions to “BAPTIST MEDICAL GROUP LLC ” Practice Location

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