Bruce Berenson MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME43312 Issued in FL

Legal business name

BRUCE BERENSON MD PA

Practice address

13660 South Jog Rd
Suite B1
Delray Beach, FL 33446-3806

Phone

(561) 499-6622

Fax

(561) 499-6795

NPI assigned

Dec 13, 2010

Last updated

Mar 5, 2013By 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

Dr. Bruce Berenson, M.D.NPI 1114916616

Title

Physician

Phone

(561) 499-6622

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Bruce Berenson, M.D.

  • Internal Medicine Physician
  • Delray Beach, FL
  • NPI 1114916616
  Authorized official Same address or phone

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362441600000",
    "number": "1063715043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13660 SOUTH JOG RD",
            "address_2": "SUITE B1",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334463806",
            "telephone_number": "561-499-6622",
            "fax_number": "561-499-6795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13660 SOUTH JOG RD",
            "address_2": "SUITE B1",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334463806",
            "telephone_number": "561-499-6622",
            "fax_number": "561-499-6795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE BERENSON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-13",
        "last_updated": "2013-03-05",
        "status": "A",
        "authorized_official_last_name": "BERENSON",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "561-499-6622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME43312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikkira Brown, DPT
• Ronald T Brown, PHD
• Samantha Brown
• Samiyah Brown, MSW
• Bruce a. Segal MD PA
• Bruce Levin MD PA
• Bruce M Berkowitz, MD PA
• Latoya Bruce, COTA
• Melinda Jean Bruck, LMHC
• Brush Delray, PLLC (Brush Delray)

• Specialist in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; 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.