Active NPI
Christian R Le Bienvenu M D PA
- Internal Medicine Physician
- Coral Springs, FL
National Provider Identifier
1265467468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- CHRISTIAN R LE BIENVENU M D PA
- Practice address
- 2901Coral Hills Drive
Suite 390
Coral Springs, FL 33065 - Phone
- (954) 796-8181
- Fax
- (954) 796-8191
- NPI assigned
- Jul 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christian Roger Le Bienvenu, M.D.
- Title
- President
- Phone
- (954) 796-8181
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
2901Coral Hills Drive
Suite 390
Coral Springs, FL 33065
Mailing address
2901Coral Hills Drive
Suite 390
Coral Springs, FL 33065
Phone (954) 796-8181
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12187 | Other | FL | BLUE CROSS |
| 005767 | Other | FL | NEIGHBORHOOD HEALTH |
| 107312 | Other | FL | HUMANA |
| 293595 | Other | FL | AVMED |
| 2556568004 | Other | FL | CIGNA |
National Provider Directory
National Provider DirectoryLocations
2901 Coral Hills Dr
Ste 390
Coral Springs, FL 33065
Phone (954) 796-8181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1337040000000",
"number": "1265467468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901CORAL HILLS DRIVE",
"address_2": "SUITE 390",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "33065",
"telephone_number": "954-796-8181",
"fax_number": "954-796-8191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901CORAL HILLS DRIVE",
"address_2": "SUITE 390",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "33065",
"telephone_number": "954-796-8181",
"fax_number": "954-796-8191"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRISTIAN R LE BIENVENU M D PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-12",
"last_updated": "2012-05-15",
"status": "A",
"authorized_official_last_name": "LE BIENVENU",
"authorized_official_first_name": "CHRISTIAN",
"authorized_official_middle_name": "ROGER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-796-8181",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "12187",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH",
"identifier": "005767",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "107312",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "293595",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2556568004",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Coral Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.