Active NPI
Alan J. Bauman, M.D.
- Surgery Physician
- Boca Raton, FL
National Provider Identifier
1265689376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME 75218
- Practice address
- 6861 SW 18TH St
Suite 102
Boca Raton, FL 33433-7099 - Phone
- (561) 394-0024
- Fax
- (561) 394-4522
- NPI assigned
- Aug 20, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME 75218 | FL | Primary |
Addresses
Primary practice location
6861 SW 18TH St
Suite 102
Boca Raton, FL 33433-7099
Mailing address
6861 SW 18TH St
Suite 102
Boca Raton, FL 33433-7099
Phone (561) 394-0024
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 75218 | FL | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219190400000",
"number": "1265689376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6861 SW 18TH ST",
"address_2": "SUITE 102",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334337099",
"telephone_number": "561-394-0024",
"fax_number": "561-394-4522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6861 SW 18TH ST",
"address_2": "SUITE 102",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334337099",
"telephone_number": "561-394-0024",
"fax_number": "561-394-4522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUMAN",
"first_name": "ALAN",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-20",
"last_updated": "2008-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME 75218",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.