Ivan Berend MD PA

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME79620 Issued in FL

Legal business name

IVAN BEREND MD PA

Practice address

21097 NE 27TH Court
Suite 320
Aventura, FL 33180-3329

Phone

(305) 538-8660

Fax

(305) 538-8667

NPI assigned

Aug 19, 2006

Organization subpart

No

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

Authorized official

Name

Ivan A Berend, MD

Title

President

Phone

(305) 538-8660

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1144335472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 ARTHUR GODFREY RD",
            "address_2": "SUITE 408",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403329",
            "telephone_number": "305-538-8660",
            "fax_number": "305-538-8667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21097 NE 27TH COURT",
            "address_2": "SUITE 320",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331803329",
            "telephone_number": "305-538-8660",
            "fax_number": "305-538-8667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVAN BEREND MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "BEREND",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-538-8660",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME79620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Aventura, FL
• Providers in Aventura, FL by specialty
• General Practice Physician in Florida

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