BTC Clinic 1, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BTC CLINIC 1, LLC

Practice address

20880 W Dixie Hwy Ste 105
Aventura, FL 33180-1151

Phone

(786) 657-3941

NPI assigned

May 28, 2021

Last updated

May 28, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Connie Decker, CPC

Title

Credentialing Manager

Phone

(480) 269-2971

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1622160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622160000000",
    "number": "1053987230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 S VAL VISTA DR STE A3-659",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852961374",
            "telephone_number": "480-269-2971",
            "fax_number": "480-452-0691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20880 W DIXIE HWY STE 105",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801151",
            "telephone_number": "786-657-3941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BTC CLINIC 1, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-28",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A",
        "authorized_official_last_name": "DECKER",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "480-269-2971",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zach Broyer, MD
• Deborah Bruno, LCSW
• Naggine Bruno
• Valeria Bruno, PT, DPT, CLWT
• Dafna A Brzoza, DDS
• L. Shannon Buchholz
• Neil Buckosh, PA
• Andres Bueno, ATC
• Dung Van Bui
• Hoan K Bui, M.D.

• Family Medicine Physician in Aventura, FL
• Providers in Aventura, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; 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.