Organization Active NPI

Bwell Medical Center Inc

  • Family Nurse Practitioner
  • Doral, FL
National Provider Identifier
1124738539
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
BWELL MEDICAL CENTER INC
Practice address
10500 NW 26TH St Ste A102
Doral, FL 33172-2158
Phone
(305) 646-1799
NPI assigned
Nov 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Authorized official

Name
Eileen Shields Jimenez, APRN
Title
Ceo/Owner
Phone
(305) 951-4499

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

10500 NW 26TH St Ste A102
Doral, FL 33172-2158

Mailing address

10500 NW 26TH St Ste A102
Doral, FL 33172-2158
Phone (305) 646-1799

National Provider Directory

National Provider Directory

Locations

10500 NW 26th St
Ste A102
Doral, FL 33172
Phone (305) 646-1799

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669593600000",
    "number": "1124738539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10500 NW 26TH ST STE A102",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722158",
            "telephone_number": "305-646-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 NW 26TH ST STE A102",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722158",
            "telephone_number": "305-646-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BWELL MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A",
        "authorized_official_last_name": "SHIELDS JIMENEZ",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "305-951-4499",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.