Provider Demographics
NPI:1942236609
Name:HEPLER, MATTHEW (MD)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:
Last Name:HEPLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 N FEDERAL HWY UNIT 611
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33435-4187
Mailing Address - Country:US
Mailing Address - Phone:312-375-6337
Mailing Address - Fax:561-214-4007
Practice Address - Street 1:15300 S JOG RD STE 110
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33446-2164
Practice Address - Country:US
Practice Address - Phone:561-345-1780
Practice Address - Fax:561-214-4007
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-24
Last Update Date:2024-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME96126207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL94631OtherBLUE CROSS BLUE SHIELD
FL94631OtherBCBS
FLAE962YMedicare PIN
FL94631OtherBCBS
H25245Medicare UPIN