NPIMap

Individual provider Active NPI

Marc Hugh Bivins, MD

  • Internal Medicine Physician
  • Sunrise, FL
National Provider Identifier
1073647707
Registry record updated Sep 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME52294 Issued in FL
Practice address
9711 W Oakland Park Blvd
Sunrise, FL 33351-7013
Phone
(904) 281-0944
Fax
(904) 281-9806
NPI assigned
Mar 15, 2007
Last updated
Sep 23, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME52294 FL Primary

Addresses

Primary practice location

9711 W Oakland Park Blvd
Sunrise, FL 33351-7013

Mailing address

304 Indian Trce
Suite 167
Weston, FL 33326-2996
Phone (904) 281-0944

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Nursing Home Consultants LLC Internal Medicine Past Accepting new patients
Seasons Psychotherapy Associates LLC Past Accepting new patients
Seasons Psychotherapy Associates LLC Past Accepting new patients
Seasons Psychotherapy Associates LLC Past Accepting new patients
Lifetime Medical Care PA Past Accepting new patients
Seasons Psychotherapy Associates LLC Past Accepting new patients

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379894400000",
    "number": "1073647707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 INDIAN TRCE",
            "address_2": "SUITE 167",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333262996",
            "telephone_number": "904-281-0944",
            "fax_number": "904-281-9806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9711 W OAKLAND PARK BLVD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517013",
            "telephone_number": "904-281-0944",
            "fax_number": "904-281-9806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIVINS",
        "first_name": "MARC",
        "middle_name": "HUGH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2013-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME52294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.