Bismark F Gonzalez MD PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

ME62724 Issued in FL

Legal business name

BISMARK F GONZALEZ MD PA

Practice address

13814 SW 152ND St
Miami, FL 33177-1164

Phone

(305) 238-2262

Fax

(305) 235-9096

NPI assigned

Feb 18, 2015

Last updated

Feb 18, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bismark Francisco Gonzalez, MDNPI 1851307037

Title

President

Phone

(305) 238-2262

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Bismark Francisco Gonzalez, M.D.

  • Pediatrics Physician
  • Miami, FL
  • NPI 1851307037
  Authorized official Same address or phone

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

{
    "created_epoch": "1424217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424217600000",
    "number": "1255722831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13814 SW 152ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331771164",
            "telephone_number": "305-238-2262",
            "fax_number": "305-235-9096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13814 SW 152ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331771164",
            "telephone_number": "305-238-2262",
            "fax_number": "305-235-9096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BISMARK F GONZALEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-18",
        "last_updated": "2015-02-18",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "BISMARK",
        "authorized_official_middle_name": "FRANCISCO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-238-2262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME62724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373315701",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ian Joseph Bishop, MD, MPH
• Patricia A Bishop, ARNP-BC
• Rachel Bishop, ARNP
• Shelley M Bishop, B.S. SLPA
• Nanette H Bishopric, MD
• Sarah Bisono-Gonzalez, LMFT
• Julia Cornelia Bisschops, MD
• Ulysses Duncan Bissell
• Gowtamdyal Bisundial, R.PH
• Nour Bitar

• Primary Care Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.