Bittern Emergency Physicians, LLC
Organization Active NPI Emergency Medicine Physician · Perry, FL
NPI 1003487380 · NPPES record last updated Mar 30, 2023
Key facts
- NPI
- 1003487380
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- BITTERN EMERGENCY PHYSICIANS, LLC
- Practice address
- 333 N Byron Butler Pkwy
Perry, FL 32347-2300 - Phone
- (973) 251-1132
- NPI assigned
- Jul 7, 2021
- Organization subpart
- No
Authorized official
- Name
- Karen Vaughn
- Title
- Officer
- Phone
- (973) 251-1132
Other NPIs on the same Medicare enrollment 2
Practitioners 1
-
Bruce D Burstein, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140403001260 | FL | Part B Supplier - Clinic/Group Practice | 8426280520 |
Receives reassigned benefits from 22 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Blountstown, FL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
333 N Byron Butler Pkwy
Perry, FL 32347-2300
Mailing address
5565 Centerview Dr Ste 107
Raleigh, NC 27606-3563
Phone (973) 251-1132
Other providers in Perry, FL
- Bay Area Health Consultants LLC
- Michelle D Bethea
- Wesley Shane Bethea
- Big Bend Operations
- Brittany Hobbs Bishop
- Ernest Hubbert Blake, Jr
- Tandela Shayontaye Blount-Jackson
- Virginia Paige Bodell
- Donna Blair Bodiford
- Kylie Renee Bogetti
All providers in Perry, FL · Emergency Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.