Individual provider Active NPI

Jonah David Bardos, M.D.

  • Reproductive Endocrinology Physician
  • Doral, FL
National Provider Identifier
1164765012
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
ME131429 Issued in FL
Practice address
2801 NW 79TH Ave Ste 2000
Doral, FL 33122-1174
Phone
(305) 482-3813
NPI assigned
Mar 28, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X ME131429 FL Primary
Obstetrics & Gynecology Physician 207V00000X ME131429 FL

Addresses

Primary practice location

2801 NW 79TH Ave Ste 2000
Doral, FL 33122-1174

Mailing address

1140 Kane Concourse FL 5
Bay Harbor Islands, FL 33154-2045
Phone (305) 735-8000

Other practice location 1

1140 Kane Concourse
Bay Harbor Islands, FL 33154-2045
Phone (305) 735-8000

Other identifiers 1

IdentifierTypeStateIssuer
ME131429OtherFLMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME131429FLMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bardos Fertility LLC Reproductive Endocrinology Current Accepting new patients
University of Miami Current Accepting new patients

Locations

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

1475 NW 12th Ave
Miami, FL 33136
Phone (305) 243-4200

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1164765012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 KANE CONCOURSE FL 5",
            "city": "BAY HARBOR ISLANDS",
            "state": "FL",
            "postal_code": "331542045",
            "telephone_number": "305-735-8000",
            "fax_number": "904-344-5173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 NW 79TH AVE STE 2000",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221174",
            "telephone_number": "305-482-3813"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1140 Kane Concourse",
            "address_purpose": "LOCATION",
            "city": "Bay Harbor Islands",
            "state": "FL",
            "postal_code": "331542045",
            "country_code": "US",
            "telephone_number": "305-735-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARDOS",
        "first_name": "JONAH",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-28",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "FL",
            "license": "ME131429",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME131429",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME131429",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

Verify at the official NPI Registry.