Active NPI
Bernard W Segall, D.M.D.,M.S.
- Prosthodontics
- Coconut Grove, FL
National Provider Identifier
1265560148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- DN0005796
- Practice address
- 2601 S Bayshore Dr
Suite # 760
Coconut Grove, FL 33133-5417 - Phone
- (305) 857-0990
- Fax
- (305) 857-9180
- NPI assigned
- Mar 1, 2007
- Last updated
- May 25, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | DN0005796 | FL | Primary |
Addresses
Primary practice location
2601 S Bayshore Dr
Suite # 760
Coconut Grove, FL 33133-5417
Mailing address
2601 S Bayshore Dr
Suite # 760
Coconut Grove, FL 33133-5417
Phone (305) 857-0990
Other names 1
- Bernard W Segall
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120717000152 | FL | Practitioner - Oral Surgery | 9032375290 |
Care Compare profile
Medicare Care Compare- Specialty
- Oral Surgery
- Education
- Other, 1968
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2601 S Bayshore Dr
Suite 760
Coconut Grove, FL 33133-5413
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN0005796 | FL | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306281600000",
"number": "1265560148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 S BAYSHORE DR",
"address_2": "SUITE # 760",
"city": "COCONUT GROVE",
"state": "FL",
"postal_code": "331335417",
"telephone_number": "305-857-0990",
"fax_number": "305-857-9180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 S BAYSHORE DR",
"address_2": "SUITE # 760",
"city": "COCONUT GROVE",
"state": "FL",
"postal_code": "331335417",
"telephone_number": "305-857-0990",
"fax_number": "305-857-9180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEGALL",
"first_name": "BERNARD",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "D.M.D.,M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-01",
"last_updated": "2011-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "FL",
"license": "DN0005796",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BERNARD",
"last_name": "SEGALL",
"middle_name": "W",
"credential": "M.D.,M.S.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Coconut Grove, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.