Reports and Inquiries

Q: What disciplinary reports inquiries will I need for licensure?
A: You must submit the following reports:
  • National Practitioner Data Bank (NPDB)—Self-Query run within 60 days of submitting application - this will be delivered to the applicant who must then forward all pages (do not keep any pages) of the report to this Board
  • Federation of State Medical Boards (FSMB)—Board Action Data Bank Inquiry—direct from source
  • Federation of Podiatric Medical Boards (FPMB)—Board Action Data Bank Inquiry—direct from source

Q: How can I get the NPDB Self-Query report?
A: You may call (800) 767-6732 or visit their website at
www.npdb-hipdb.hrsa.gov/pract/hasAReportBeenFiledOnYou.jsp

The Self-Query is mailed to you and you must forward ALL pages to this Board. You may send this via mail, fax, or e-mail.
 
Q: How can I get the (FSMB) Disciplinary report?
A: MD/DO - you may use the form available directly from the FSMB site at library.fsmb.org/fpdc_data_inquiry.html
 
Make sure to click the box to request Disciplinary Reports. You may use the OMB’s form available at: 
 
Complete the form and mail to the FSMB:
Disciplinary Inquiries
Federation of State Medical Boards
P.O. Box 619850
Dallas , TX 75261 -9850
 
 
DPM - you may use the form available directly from the FPMB site at
Complete the form and mail to the FPMB at:
Federation of Podiatric Medical Boards
6551 Malta Drive
Boynton Beach , Florida 33437
(561) 752-3735
 
Q: What is the Federation Credentials Verification Service (FCVS) and is it required?
A: The FCVS is a service provided by the FSMB that gathers information and verifications of core credentials to be kept on file for use by state medical boards and other organizations. This Board accepts the portfolio from this service in lieu of some of the Board's application process. However, the FCVS portfolio is NOT REQUIRED. The information received from FCVS does not include all items required by the Board.