Organization Active NPI

Paul T. Bakule, MD PA

  • Urology Physician
  • Vero Beach, FL
National Provider Identifier
1275877235
Registry record updated Nov 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME17740 Issued in FL
Legal business name
PAUL T. BAKULE, MD PA
Practice address
787 37TH St Ste E130
Vero Beach, FL 32960-7313
Phone
(772) 562-2524
Fax
(772) 562-2286
NPI assigned
Nov 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2012

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

Authorized official

Name
Heidi Hellinger
Title
Billing Manager
Phone
(772) 562-2524

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X ME17740 FL Primary

Addresses

Primary practice location

787 37TH St Ste E130
Vero Beach, FL 32960-7313

Mailing address

787 37TH St Ste E130
Vero Beach, FL 32960-7313
Phone (772) 562-2524

Other identifiers 1

IdentifierTypeStateIssuer
051040800MedicaidFL

National Provider Directory

National Provider Directory

Locations

787 37th St
Ste E130
Vero Beach, FL 32960
Phone (561) 562-2524

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353888000000",
    "number": "1275877235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "787 37TH ST STE E130",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607313",
            "telephone_number": "772-562-2524",
            "fax_number": "772-562-2286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "787 37TH ST STE E130",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607313",
            "telephone_number": "772-562-2524",
            "fax_number": "772-562-2286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL T. BAKULE, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-26",
        "status": "A",
        "authorized_official_last_name": "HELLINGER",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "772-562-2524"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "FL",
            "license": "ME17740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051040800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.

Verify at the official NPI Registry.