Active NPI
Bonemender, LLC.
- Orthopaedic Surgery Physician
- Boca Raton, FL
National Provider Identifier
1033277850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- BONEMENDER, LLC.
- Practice address
- 9033 Glades Rd Ste D
Boca Raton, FL 33434-3939 - Phone
- (954) 491-6969
- Fax
- (888) 426-8955
- NPI assigned
- Dec 5, 2006
- Last updated
- May 24, 2016
- 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
- Miss Marina Tabakman
- Title
- Practice Manager/Administrator
- Phone
- (954) 491-6969
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
9033 Glades Rd Ste D
Boca Raton, FL 33434-3939
Mailing address
9033 Glades Rd Ste D
Boca Raton, FL 33434-3939
Phone (954) 491-6969
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 222259 | Other | FL | AVMED |
| 279755100 | Medicaid | FL | |
| 23404 | Other | FL | BC BS OF FLA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5701 Overseas Hwy
Ste 3
Marathon, FL 33050
Phone (305) 289-9490
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthopaedic Surgery Physician
- Boca Raton, FL
- NPI 1437252624
-
- Surgery Physician
- Marathon, FL
- NPI 1518026475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1464048000000",
"number": "1033277850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9033 GLADES RD STE D",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334343939",
"telephone_number": "954-491-6969",
"fax_number": "888-426-8955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9033 GLADES RD STE D",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334343939",
"telephone_number": "954-491-6969",
"fax_number": "888-426-8955"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BONEMENDER, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-05",
"last_updated": "2016-05-24",
"status": "A",
"authorized_official_last_name": "TABAKMAN",
"authorized_official_first_name": "MARINA",
"authorized_official_title_or_position": "PRACTICE MANAGER/ADMINISTRATOR",
"authorized_official_telephone_number": "954-491-6969",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "222259",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "279755100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS OF FLA",
"identifier": "23404",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.