Individual provider Active NPI

Bernard Francois Chrisphonte, RRT

  • General Care Registered Respiratory Therapist
  • Lake Worth, FL
National Provider Identifier
1104926856
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Care Registered Respiratory TherapistTaxonomy code 2279G1100X
License
RT6794 Issued in FL
Practice address
6862 Houlton Cir
Lake Worth, FL 33467-8741
Phone
(561) 304-0598
NPI assigned
Sep 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Care Registered Respiratory Therapist 2279G1100X RT6794 FL Primary

Addresses

Primary practice location

6862 Houlton Cir
Lake Worth, FL 33467-8741

Mailing address

6862 Houlton Cir
Lake Worth, FL 33467-8741
Phone (561) 304-0598

Other identifiers 1

IdentifierTypeStateIssuer
8902038MedicaidNY

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RT6794FLMDGeneral Care Registered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1104926856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6862 HOULTON CIR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334678741",
            "telephone_number": "561-304-0598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6862 HOULTON CIR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334678741",
            "telephone_number": "561-304-0598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISPHONTE",
        "first_name": "BERNARD",
        "middle_name": "FRANCOIS",
        "credential": "RRT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-23",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2279G1100X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, General Care",
            "state": "FL",
            "license": "RT6794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8902038",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.