Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Southeast Orthopedic Specialists, Inc

Q: What is the NPI number for Southeast Orthopedic Specialists, Inc?

The NPI for Southeast Orthopedic Specialists, Inc is 1053776468, a Type 2 (organization) record in the CMS NPPES registry.

Non-Pharmacy Dispensing Site in Jacksonville, FL · enumerated 2015 · authorized official Brett Puckett, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053776468

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Registry record

Entity type Organization (Type 2)

Legal business name Southeast Orthopedic Specialists, Inc

Practice address 15255 Max Leggett Pkwy, 5th Floor, Jacksonville, FL, 32218

Phone (727) 755-0693

Fax (727) 755-0679

Enumeration date Dec 30, 2015

Last updated in NPPES Sep 29, 2022

Taxonomy & classification

332900000X Non-Pharmacy Dispensing Site Suppliers · License ME80485 (FL) Primary

Authorized official

Name Brett Puckett

Title President

Phone (904) 634-0640

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Southeast Orthopedic Specialists, Inc?

The NPI for Southeast Orthopedic Specialists, Inc is 1053776468, a Type 2 (organization) record in the CMS NPPES registry.

Who is the authorized official for Southeast Orthopedic Specialists, Inc?

NPPES lists Brett Puckett (President) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-09-29.