Organization Active NPI

David Drachman M D P a

  • Dermatology Physician
  • Aventura, FL
National Provider Identifier
1144352303
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
DAVID DRACHMAN M D P A
Practice address
17971 Biscayne Blvd
#205
Aventura, FL 33160-2578
Phone
(305) 935-2990
Fax
(305) 935-1349
NPI assigned
Mar 12, 2007
Last updated
Jul 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Authorized official

Name
David Drachman, MDNPI 1891829164
Title
President
Phone
(305) 935-2990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X NU Primary

Addresses

Primary practice location

17971 Biscayne Blvd
#205
Aventura, FL 33160-2578

Mailing address

17971 Biscayne Blvd
#205
Aventura, FL 33160-2578
Phone (305) 935-2990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080930000512 FL Part B Supplier - Clinic/Group Practice 2961579131 Receives reassigned benefits from 1 practitioner
Practice locations: Aventura, FL; Miami, FL

National Provider Directory

National Provider Directory

Locations

17971 Biscayne Blvd
Ste 205
Aventura, FL 33160
Phone (304) 935-2990

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1144352303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17971 BISCAYNE BLVD",
            "address_2": "#205",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331602578",
            "telephone_number": "305-935-2990",
            "fax_number": "305-935-1349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17971 BISCAYNE BLVD",
            "address_2": "#205",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331602578",
            "telephone_number": "305-935-2990",
            "fax_number": "305-935-1349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID DRACHMAN M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "DRACHMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-935-2990",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.