Marc Hugh Bivins, MD

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

Sex

Male

Sole proprietor

No

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

• Lifetime Medical Care PA

  • Primary Care Clinic/Center
  • Orange Park, FL
  • NPI 1790793016
  NPD (past)
• Nursing Home Consultants LLC

  • Internal Medicine Physician
  • Marathon, FL
  • NPI 1033346945

  Internal Medicine

  NPD (past)
• Seasons Psychotherapy Associates LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tampa, FL
  • NPI 1225801434
  NPD (past)
• Seasons Psychotherapy Associates LLC

  • Mental Health Counselor
  • Davie, FL
  • NPI 1639796675
  NPD (past)
• Seasons Psychotherapy Associates LLC

  • Mental Health Counselor
  • Fort Lauderdale, FL
  • NPI 1679202246
  NPD (past)
• Seasons Psychotherapy Associates LLC

  • Community/Behavioral Health Agency
  • Coral Springs, FL
  • NPI 1881419901
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 23, 2013.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259948100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Birth Work South Florida
• Gabrielle Bispott
• Samuel Biss, FNP
• Sandeep Kumar Biswas, PT
• Balkys Lamercie Bivins, ARNP
• Bja Inc
• Craig Scott Black, DO
• Michael B. Black, MD
• Eileen M. Blackburn, PA-C
• Anne B. Blackstone

• All providers in Sunrise, FL
• Internal Medicine Physician in Florida

• 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.