Active NPI
Bernice McCrae
- Contractor
- Miami, FL
National Provider Identifier
1063688406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- CHS 0307-701-88
- Practice address
- 1311 NW 98TH Ter
Miami, FL 33147-2663 - Phone
- (305) 696-5106
- NPI assigned
- May 6, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | CHS 0307-701-88 | FL | Primary |
Addresses
Primary practice location
1311 NW 98TH Ter
Miami, FL 33147-2663
Mailing address
1311 NW 98TH Ter
Miami, FL 33147-2663
Phone (305) 696-5106
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 230498800 | Other | FL | MEDICAID PROBVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHS 0307-701-88 | FL | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210032000000",
"number": "1063688406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1311 NW 98TH TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "331472663",
"telephone_number": "305-696-5106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1311 NW 98TH TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "331472663",
"telephone_number": "305-696-5106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCRAE",
"first_name": "BERNICE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-06",
"last_updated": "2008-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "FL",
"license": "CHS 0307-701-88",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID PROBVIDER NUMBER",
"identifier": "230498800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.