Active NPI
Bruce H Berman,MD,PA
- Primary Care Clinic/Center
- Jupiter, FL
National Provider Identifier
1003849258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- ME 0057993
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.