Daniel Bader M.D., PA

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

ME11585 Issued in FL

Legal business name

DANIEL BADER M.D., PA

Practice address

928 E Mar Walt Dr
Suite 102
Ft. Walton Beach, FL 32547

Phone

(850) 862-6605

NPI assigned

Jul 4, 2006

Organization subpart

No

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

Authorized official

Name

Linda Bader

Title

Office Manager

Phone

(850) 862-6605

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1295765006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 E MAR WALT DR",
            "address_2": "SUITE 102",
            "city": "FT. WALTON BEACH",
            "state": "FL",
            "postal_code": "32547",
            "telephone_number": "850-862-6605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 E MAR WALT DR",
            "address_2": "SUITE 102",
            "city": "FT. WALTON BEACH",
            "state": "FL",
            "postal_code": "32547",
            "telephone_number": "850-862-6605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL BADER M.D., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "BADER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "850-862-6605"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME11585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley D'Amico, DNP, FNP-BC
• Jennifer Meshell Dahlberg
• Lisa Dailey
• John Christofer Dali, M.D.
• Dana J. Wallace, LCSW, LLC
• Hien Dao, MD
• Erica Darby
• Andrea Davis-Aguirre
• Elbert R Davis, DMD
• Ivey Danielle Davis, APRN

• All providers in Ft. Walton Beach, FL
• Neurological Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; 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.