Bracha Devorah Bergida

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SZ 5279 Issued in FL

Practice address

2265 NE 164TH St
North Miami Beach, FL 33160-3703

Phone

(305) 949-7665

NPI assigned

Nov 11, 2010

Last updated

Nov 11, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Bracha Devorah Luban Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Little Steps Rehabilitation Clinic, Inc.

  • Pediatric Physical Therapist
  • North Miami Beach, FL
  • NPI 1235310889

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289433600000",
    "number": "1093016792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 NE 173RD ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331621252",
            "telephone_number": "347-848-5638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2265 NE 164TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331603703",
            "telephone_number": "305-949-7665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGIDA",
        "first_name": "BRACHA",
        "middle_name": "DEVORAH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-11",
        "last_updated": "2010-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ 5279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRACHA",
            "last_name": "LUBAN",
            "middle_name": "DEVORAH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Benite Care LLC
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• Richard Bennett, DO
• Sergeline Benoit-Bernier
• Joseph Leon Berg, PSYD, BCBA
• Daniel Berhane
• Alam Leah Berke, MD
• William Berke, M.D.
• Berman Chiropractic Center
• Rachel Bernal

• Speech-Language Pathologist in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; 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.