Organization Active NPI

Bruce H Berman,MD,PA

  • Primary Care Clinic/Center
  • Jupiter, FL
National Provider Identifier
1003849258
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME 0057993 Issued in FL
Legal business name
BRUCE H BERMAN,MD,PA
Practice address
675 W Indiantown Rd
Suite 100
Jupiter, FL 33458-7548
Phone
(561) 935-1090
Fax
(561) 935-1080
NPI assigned
Jul 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Bruce Hal Berman, MD
Title
President
Phone
(561) 935-1090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ME 0057993 FL Primary

Addresses

Primary practice location

675 W Indiantown Rd
Suite 100
Jupiter, FL 33458-7548

Mailing address

675 W Indiantown Rd
Suite 100
Jupiter, FL 33458-7548
Phone (561) 935-1090

Other names 1

  • Palm Beach Holistic Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1003849258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 W INDIANTOWN RD",
            "address_2": "SUITE 100",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587548",
            "telephone_number": "561-935-1090",
            "fax_number": "561-935-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 W INDIANTOWN RD",
            "address_2": "SUITE 100",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587548",
            "telephone_number": "561-935-1090",
            "fax_number": "561-935-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE H BERMAN,MD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "BERMAN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "HAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-935-1090",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME 0057993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palm Beach Holistic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.