Revival Orthopaedics Inc

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

ME91496 Issued in FL

Legal business name

REVIVAL ORTHOPAEDICS INC

Practice address

1190 NW 95TH St
Suite 305
Miami, FL 33150-2063

Phone

(305) 694-9400

Fax

(305) 693-6942

NPI assigned

Jun 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mark Bridges, M.D.NPI 1225091143

Title

Physician

Phone

(305) 694-9400

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Wilson Bridges, M.D.

  • Orthopaedic Surgery Physician
  • Hollywood, FL
  • NPI 1225091143
  Medicare reassignment NPD Authorized official
• Richard Henrys, MD

  • Orthopaedic Surgery Physician
  • Miami, FL
  • NPI 1750347522
  Medicare reassignment NPD

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229558400000",
    "number": "1285837492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 NW 95TH ST",
            "address_2": "SUITE 305",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331502063",
            "telephone_number": "305-694-9400",
            "fax_number": "305-693-6942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 NW 95TH ST",
            "address_2": "SUITE 305",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331502063",
            "telephone_number": "305-694-9400",
            "fax_number": "305-693-6942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVAL ORTHOPAEDICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2008-12-18",
        "status": "A",
        "authorized_official_last_name": "BRIDGES",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "305-694-9400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME91496",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME93941",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274429500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271502300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Revised Perspective
• Revital Eyes PA
• Revitalize Care Center Inc
• Revitalize Clinics Inc
• Revival Med Centers, LLC
• Revive Health Center, Inc.
• Revline Billing Solutions LLC
• Lesyani Anaisa Revolta Carrero
• Dominique Revolus
• Karim Rossina Revoredo, DDS

• Orthopaedic Surgery Physician in Miami, FL
• Providers in Miami, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.