Individual provider Active NPI

Paul Bernard Wizman, MD

  • Specialist
  • Boca Raton, FL
National Provider Identifier
1164430716
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME70211 Issued in FL
Practice address
9960 Central Park Blvd N Ste 235
Boca Raton, FL 33428-1760
Phone
(954) 969-1355
Fax
(954) 969-1232
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME70211 FL Primary
Surgery Physician 208600000X ME70211 FL

Addresses

Primary practice location

9960 Central Park Blvd N Ste 235
Boca Raton, FL 33428-1760

Mailing address

9960 Central Park Blvd N Ste 235
Boca Raton, FL 33428-1760
Phone (954) 969-1355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040909001250 FL Practitioner - General Surgery 8426024472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5800 Colonial Dr
Suite 108
Margate, FL 33063-5662
Phone (954) 969-1355

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME70211FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paul B Wizman MD PA Specialist CurrentSince Sep 13, 2009 Accepting new patients

Locations

9960 Central Park Blvd N
Ste 235
Boca Raton, FL 33428
Phone (561) 483-0844

5800 Colonial Dr
Ste 108
Margate, FL 33063
Phone (954) 969-1355

2960 N State Road 7
Ste 102
Margate, FL 33063
Phone (954) 969-1355

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EEBJCD/Endpoint/EEBJCD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1164430716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9960 CENTRAL PARK BLVD N STE 235",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281760",
            "telephone_number": "954-969-1355",
            "fax_number": "954-969-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9960 CENTRAL PARK BLVD N STE 235",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281760",
            "telephone_number": "954-969-1355",
            "fax_number": "954-969-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIZMAN",
        "first_name": "PAUL",
        "middle_name": "BERNARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME70211",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME70211",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.