Organization Active NPI

Bdsmedicine Services Corp

  • Internal Medicine Physician
  • Pembroke Pines, FL
National Provider Identifier
1164164570
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BDSMEDICINE SERVICES CORP
Practice address
Memorial Hospital West
703 N Flamingo Road
Pembroke Pines, FL 33028-1006
Phone
(954) 436-5000
NPI assigned
Apr 7, 2022
Last updated
Apr 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Authorized official

Name
William Navarro, MDNPI 1801151899
Title
President
Phone
(786) 355-6366

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
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

Memorial Hospital West
703 N Flamingo Road
Pembroke Pines, FL 33028-1006

Mailing address

7150 W 20TH Ave Ste 412E
Hialeah, FL 33016-5533
Phone (305) 702-9441

Other practice location 1

Memorial Hospital Miramar
1901 SW 172ND Ave
Miramar, FL 33029-5592
Phone (954) 538-5000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220623003213 FL Part B Supplier - Clinic/Group Practice 3678952496 Receives reassigned benefits from 1 practitioner
Practice locations: Pembroke Pines, FL; Miramar, FL

National Provider Directory

National Provider Directory

Locations

7150 W 20th Ave
Ste 412E
Hialeah, FL 33016

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": "1649289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649289600000",
    "number": "1164164570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7150 W 20TH AVE STE 412E",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165533",
            "telephone_number": "305-702-9441",
            "fax_number": "305-702-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEMORIAL HOSPITAL WEST",
            "address_2": "703 N FLAMINGO ROAD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281006",
            "telephone_number": "954-436-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Memorial Hospital Miramar",
            "address_2": "1901 SW 172ND Ave",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "330295592",
            "country_code": "US",
            "telephone_number": "954-538-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BDSMEDICINE SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-07",
        "last_updated": "2022-04-07",
        "certification_date": "2022-03-17",
        "status": "A",
        "authorized_official_last_name": "NAVARRO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-355-6366",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.