Individual provider Active NPI

Jean Berlonge Pierre, MD

  • General Practice Physician
  • Lauderdale Lakes, FL
National Provider Identifier
1255769246
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
18580 Issued in PR
Practice address
2412 N State Road 7
Lauderdale Lakes, FL 33313-3724
Phone
(954) 289-0000
Fax
(888) 365-3056
NPI assigned
Oct 29, 2013
Last updated
Jul 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 18580 PR Primary

Addresses

Primary practice location

2412 N State Road 7
Lauderdale Lakes, FL 33313-3724

Mailing address

2412 N State Road 7
Lauderdale Lakes, FL 33313-3724
Phone (954) 289-0000

Other practice location 1

700 1st St S
Winter Haven, FL 33880-3605
Phone (863) 226-5589

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
I20140813000816 FL Practitioner - Family PracticePractitioner - General Practice 0941427082 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General Practice
Education
Other, 1996
Medicare assignment
May accept Medicare assignment
Group practices
Primary Medical Care Center and Urgent Care Clinic, IncGroup PAC ID 3779720826, 2 clinicians

Practice addresses (Care Compare)

11500 NW 7TH Ave
Miami, FL 33168-2506
Phone (305) 751-1500

2412 N State Rd
Suite 7
Lauderdale Lakes, FL 33313-3724
Phone (954) 289-0000

3000 SW 148TH Ave
Suite 215
Miramar, FL 33027-4171
Phone (954) 289-0000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18580PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Medical Care Center of Pompano Beach, Inc CurrentSince Oct 20, 2024 Accepting new patients
Doctor Today TLC, LLC CurrentSince Apr 20, 2014 Accepting new patients
Primary Medical Care Center and Urgent Care Clinic, Inc CurrentSince Jun 23, 2024 Accepting new patients
Premier Health & Wellness Center Corp CurrentSince Feb 1, 2026 Accepting new patients
Primary Medical Care Center of Miramar Inc CurrentSince Oct 20, 2024 Accepting new patients

Locations

1801 W Sample Rd
Ste 100
Deerfield Beach, FL 33064
Phone (954) 289-0000

3810 S Florida Ave
Lakeland, FL 33813
Phone (863) 619-5100

2412 N State Road 7
Lauderdale Lakes, FL 33313
Phone (954) 289-0000

3000 SW 148th Ave
Ste 215
Miramar, FL 33027
Phone (561) 945-6779

11500 NW 7th Ave
North Miami, FL 33168
Phone (305) 751-1500

2000 N Federal Hwy
Ste 201
Pompano Beach, FL 33062
Phone (954) 235-5829

700 1st St S
Winter Haven, FL 33880
Phone (863) 226-5589

Interoperability endpoints

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

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1255769246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 N STATE ROAD 7",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333133724",
            "telephone_number": "954-289-0000",
            "fax_number": "888-365-3056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 N STATE ROAD 7",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333133724",
            "telephone_number": "954-289-0000",
            "fax_number": "888-365-3056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 1st St S",
            "address_purpose": "LOCATION",
            "city": "Winter Haven",
            "state": "FL",
            "postal_code": "338803605",
            "country_code": "US",
            "telephone_number": "863-226-5589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIERRE",
        "first_name": "JEAN",
        "middle_name": "BERLONGE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-29",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "18580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale Lakes, FL

Sources for this page

Verify at the official NPI Registry.