PREMIER URGENT CAREBADOLATO FAMILY HEALTH
NPI 1659316941
Family Medicine in Melbourne, FL

NPI Status: Active since June 19, 2006

Contact Information

6300 N WICKHAM RD
SUITE 101
MELBOURNE, FL
ZIP 32940
Phone: (321) 253-2169
Fax: (321) 253-1720

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  • Organization
  • Family Medicine
  • Accepts Insurance
  • CLIA Number: 10D2096599
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-27-2027

About PREMIER URGENT CAREBADOLATO FAMILY HEALTH

This page provides the complete NPI Profile along with additional information for Premier Urgent Carebadolato Family Health, a primary care provider established in Melbourne, Florida operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1659316941 assigned on June 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 16 years ago. Premier Urgent Carebadolato Family Health operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Premier Urgent Carebadolato Family Health. The authorized official of this NPI record is Dr. David Badolato Md (Physician/owner)

NPI
1659316941
Provider Legal Name
D BADOLATO PA
Other Organization Name
PREMIER URGENT CAREBADOLATO FAMILY HEALTH
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
6300 N WICKHAM RD SUITE 101 MELBOURNE, FL 32940
Location Phone
(321) 253-2169
Location Fax
(321) 253-1720
Mailing Address
6300 N WICKHAM RD SUITE 101 MELBOURNE, FL 32940
Mailing Phone
(321) 253-2169
Mailing Fax
(321) 253-1720
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-19-2006
Last Update Date
09-28-2009
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A primary care provider (PCP) like Premier Urgent Carebadolato Family Health sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
  • BlueOptions Bronze 24J01-04 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - PPO
  • BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards) - PPO
  • BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - PPO
  • BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards) - PPO
  • BlueOptions Platinum 24J01-05 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - PPO
  • BlueOptions Silver 24J01-03 ($0 Virtual PCP Visits / $0 Labs / Rewards) - PPO
  • BlueOptions Silver 24J01-07 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
  • BlueOptions Silver 24J01-19S ($40 PCP Visits / Multilingual Available / Rewards) - PPO
  • BlueSelect Bronze (HSA) 1735 (Rewards / $4 Condition Care Rx) - EPO
  • BlueSelect Bronze 1449 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - EPO
  • BlueSelect Bronze 2139 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - EPO
  • BlueSelect Bronze 2139E ($0 Virtual PCP Visits / $50 PCP Visits / Adult Dental & Vision / Rewards) - EPO
  • BlueSelect Bronze 2139V ($0 Virtual PCP Visits / $50 PCP Visits / Adult Vision / Rewards) - EPO
  • BlueSelect Bronze 2342S ($50 PCP Visits / Multilingual Available / Rewards) - EPO
  • BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
  • BlueCare Bronze 24K01-03 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
  • BlueCare Bronze 24K01-05 ($0 Virtual PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K01-25 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K01-31S (Multilingual Available / Rewards) - POS
  • BlueCare Bronze 24K02-17 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
  • BlueCare Bronze 24K02-18 ($0 Virtual PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K02-23 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K02-26S (Multilingual Available / Rewards) - POS
  • BlueCare Gold 24K01-08 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
  • BlueCare Gold 24K01-10 ($0 Virtual PCP Visits / $15 Labs / Rewards) - POS
  • BlueCare Gold 24K01-33S ($30 PCP Visits / Multilingual Available/ Rewards) - POS
  • BlueCare Gold 24K02-20 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
  • BlueCare Gold 24K02-28S ($30 PCP Visits / Multilingual Available / Rewards) - POS
  • BlueCare Platinum 24K01-04 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - POS
  • BlueCare Platinum 24K01-07 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - POS
  • BlueCare Platinum 24K01-34S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - POS
  • BlueCare Platinum 24K02-15 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - POS
  • BlueCare Platinum 24K02-29S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - POS
  • BlueCare Silver 24K01-02 ($0 Virtual PCP Visits / $0 Labs / Rewards) - POS

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. DAVID BADOLATO MD

Authorized Official Title
PHYSICIAN/OWNER
Authorized Official Phone
(321) 253-2169

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
5755350001MEDICARE NSC (07)FL 
K3321MEDICARE ID-TYPE UNSPECIFIED (04)FL 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D2096599
Facility Type
Physician Office
Certificate Effective Date
May 28, 2025
Certificate Expiration Date
May 27, 2027
Laboratory Director
STEPHEN K. BADOLATO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Premier Urgent Carebadolato Family Health to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1659316941
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26109611298
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 0 + 9 + 6 + 1 + 1 + 2 + 9 + 8 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1659316941 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1194728121 DAVID W BADOLATO MD
Individual
Family Medicine6300 N WICKHAM RD STE 101
MELBOURNE, FL 32940
(321) 253-2169
1417950429DR. FRANK JOSEPH LISTELLO JR. M.D.
Individual
Internal Medicine6300 N WICKHAM RD STE 101
MELBOURNE, FL 32940
(321) 253-2169
1194728832DR. STEPHEN K BADOLATO MD
Individual
Family Medicine (Sports Medicine)6300 N WICKHAM RD STE 101 -108
MELBOURNE, FL 32940
(321) 253-2169
1306863105DR. KARL DAVID JOHANNESSEN OD
Individual
Optometrist6300 N WICKHAM RD UNIT 123
MELBOURNE, FL 32940
(321) 751-7270
1457364044 ANJAY KALRA DMD
Individual
Dentist (General Practice)6300 N WICKHAM RD SUITE 121
MELBOURNE, FL 32940
(321) 254-3000
1548273048 DOUG WEBER D.C.
Individual
Chiropractor6300 N WICKHAM RD
MELBOURNE, FL 32940
(321) 259-0090
1396820742PREMIER URGENT CARE OF BREVARD LLC
Organization
Clinic/Center (Urgent Care)6300 N WICKHAM RD SUITE 108
MELBOURNE, FL 32940
(321) 253-2169
1861685273MR. DANIEL EDWARD DE LA GARZA LMT
Individual
Massage Therapist6300 N WICKHAM RD
MELBOURNE, FL 32940
(321) 536-2173
1619295482 DONNA BORRESEN AP
Individual
Acupuncturist6300 N WICKHAM RD
MELBOURNE, FL 32940
(321) 757-6899
1669786414 DELIECE LEGRANDE WHITE ACUPUNCTURE PHYS.
Individual
Acupuncturist6300 N WICKHAM RD SUITE 116
MELBOURNE, FL 32940
(321) 626-8638
1154370096 WALTER H JOYNER PA
Individual
Physician Assistant6300 N WICKHAM RD SUITE 101-108
MELBOURNE, FL 32940
(321) 253-2169
1750384772DR. YVETTE MARIE LOPEZ-GRANBERRY M.D.
Individual
Internal Medicine6300 N WICKHAM RD STE 101
MELBOURNE, FL 32940
(321) 253-2169
1033111323 SARA JANE SENGEL PA
Individual
Physician Assistant6300 N WICKHAM RD SUITE 101
MELBOURNE, FL 32940
(321) 253-2169
1609151752 DAX VASILIOU O.D.
Individual
Optometrist6300 N WICKHAM RD
MELBOURNE, FL 32940
(321) 751-7270
1972959781TOP TIER SPORTS MEDICINE LLC
Organization
Clinic/Center (Physical Therapy)6300 N WICKHAM RD SUITE 133B
MELBOURNE, FL 32940
(321) 431-6805
1699050393 OLUGBENGA ONI RPH
Individual
Pharmacist6300 N WICKHAM RD SUITE 126
MELBOURNE, FL 32940
(321) 610-3114
1073059705PHYSICAL REHAB AND MEDICAL ASSOCIATES INC
Organization
Physical Therapist6300 N WICKHAM RD #116
MELBOURNE, FL 32940
(321) 757-6899
1376080846MRS. LISA FRIER COBBS MSN, ARNP, FNP-C
Individual
Nurse Practitioner6300 N WICKHAM RD STE. 132
MELBOURNE, FL 32940
(321) 253-4032
1689619108DR. CHRISTOPHER M GALLOWAY MD
Individual
Family Medicine6300 N WICKHAM RD SUITE 101
MELBOURNE, FL 32940
(321) 253-2169
1366083172 ELIZABETH EVANS JENKS
Individual
Specialist/Technologist, Other6300 N WICKHAM RD
MELBOURNE, FL 32940
(772) 571-3331

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659316941, enumerated in the NPI registry as an "organization" on June 19, 2006

The provider is located at 6300 N Wickham Rd Suite 101 Melbourne, Fl 32940 and the phone number is (321) 253-2169

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL), Florida. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 10D2096599 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on June 19, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.