Bernard P Nusbaum, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME37143 Issued in FL

Practice address

4425 Ponce de Leon Blvd
Suite 230
Coral Gables, FL 33146-1837

Phone

(305) 448-9100

Fax

(305) 448-9100

NPI assigned

Apr 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: wghbnusba@yourcarecommunity.org

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409011200000",
    "number": "1184688657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 PONCE DE LEON BLVD",
            "address_2": "SUITE 230",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331461837",
            "telephone_number": "305-448-9100",
            "fax_number": "330-544-8105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 PONCE DE LEON BLVD",
            "address_2": "SUITE 230",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331461837",
            "telephone_number": "305-448-9100",
            "fax_number": "305-448-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUSBAUM",
        "first_name": "BERNARD",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2014-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME37143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Nunez, LCSW
• Yusimy Nunez
• Nursemed Home Care Corp
• Nursing Care PRN Inc
• Aron Gregory Nusbaum, M.D.
• Jill Marie Nyberg
• Stephen E Nygard, M.D.
• Christopher S. O'Connell, M.D.
• Corinne Sheppo O'Connell, APRN
• O&D Medical Center, Corporation

• Dermatology Physician in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.