Active NPI
Alan G. Stern, MD
- Internal Medicine Physician
- Boca Raton, FL
National Provider Identifier
1164418786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 18552
- Practice address
- 644 Glades Rd
C/O BRRH Community Outreach
Boca Raton, FL 33431-6414 - Phone
- (561) 955-5072
- NPI assigned
- Sep 20, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 18552 | FL | Primary |
Addresses
Primary practice location
644 Glades Rd
C/O BRRH Community Outreach
Boca Raton, FL 33431-6414
Mailing address
6860 S Grande Dr
Boca Raton, FL 33433-2704
Phone (561) 483-7397
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18552 | FL | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387756800000",
"number": "1164418786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6860 S GRANDE DR",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334332704",
"telephone_number": "561-483-7397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "644 GLADES RD",
"address_2": "C/O BRRH COMMUNITY OUTREACH",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334316414",
"telephone_number": "561-955-5072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STERN",
"first_name": "ALAN",
"middle_name": "G.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-20",
"last_updated": "2013-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "18552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.