Individual provider Active NPI

Bernard Zaragoza, MD

  • Surgery Physician
  • Coral Springs, FL
National Provider Identifier
1093717944
Registry record updated Nov 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME067920 Issued in FL
Practice address
3001 Coral Hills Dr
Suite 320
Coral Springs, FL 33065-4172
Phone
(954) 755-0111
Fax
(955) 755-2209
NPI assigned
Aug 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME067920 FL Primary

Addresses

Primary practice location

3001 Coral Hills Dr
Suite 320
Coral Springs, FL 33065-4172

Mailing address

3001 Coral Hills Dr
Suite 320
Coral Springs, FL 33065-4172
Phone (954) 755-0111

Other identifiers 6

IdentifierTypeStateIssuer
005760OtherFLNHP
0163179OtherFLGHI
209121OtherFLAVMED
26718OtherFLBLUECROSSBLUESHIELD
377353100MedicaidFL
P00811385OtherFLMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070509000722 FL Practitioner - General Surgery 9032215918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Harvard Medical School, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Florida Surgical Specialists LLCGroup PAC ID 5799881660, 91 clinicians

Practice addresses (Care Compare)

2801 N St Rd
Suite 7
Margate, FL 33063-5727
Phone (954) 974-0400

3000 Coral Hills Dr
Coral Springs, FL 33065-4108
Phone (954) 344-3000

3001 Coral Hills Dr
Coral Springs, FL 33065-4172

Hospital & facility affiliations

  • Broward Health Coral Springs Hospital, Coral Springs, FL, CCN 100276

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
67920FLMDPharmacist
ME067920FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Surgical Specialists LLC Surgery CurrentSince Apr 16, 2007 Accepting new patients
Shachner and Zaragoza MD PA Surgery Past Accepting new patients

Locations

3001 Coral Hills Dr
Ste 320
Coral Springs, FL 33065
Phone (954) 755-0111

3100 Coral Hills Dr
Ste 207
Coral Springs, FL 33065
Phone (954) 341-9777

3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289347200000",
    "number": "1093717944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 CORAL HILLS DR",
            "address_2": "SUITE 320",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654172",
            "telephone_number": "954-755-0111",
            "fax_number": "955-755-2209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 CORAL HILLS DR",
            "address_2": "SUITE 320",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654172",
            "telephone_number": "954-755-0111",
            "fax_number": "955-755-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZARAGOZA",
        "first_name": "BERNARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2010-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME067920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP",
            "identifier": "005760",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0163179",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "209121",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "26718",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "377353100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00811385",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.