Aaron Bernard Tuckler MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME109419 Issued in FL

Legal business name

AARON BERNARD TUCKLER MD PA

Practice address

9570 SW 107TH Ave
Suite # C-204
Miami, FL 33176-2788

Phone

(305) 598-6464

Fax

(305) 598-6443

NPI assigned

Nov 21, 2011

Last updated

Nov 21, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Aaron Bernard Tuckler, MD FACCNPI 1760771000

Title

Doctor

Phone

(305) 598-6464

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Aaron Bernard Tuckler, M.D.

  • Family Medicine Physician
  • Miami, FL
  • NPI 1760771000
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1321833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321833600000",
    "number": "1326315243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9570 SW 107TH AVE",
            "address_2": "SUITE # C-204",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762788",
            "telephone_number": "305-598-6464",
            "fax_number": "305-598-6443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9570 SW 107TH AVE",
            "address_2": "SUITE # C-204",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762788",
            "telephone_number": "305-598-6464",
            "fax_number": "305-598-6443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AARON BERNARD TUCKLER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-21",
        "last_updated": "2011-11-21",
        "status": "A",
        "authorized_official_last_name": "TUCKLER",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "305-598-6464",
        "authorized_official_credential": "MD FACC"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME109419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "14CJ7",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IND NPI",
            "identifier": "1760771000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL LICENSE",
            "identifier": "ME109419",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Miami, FL
• Providers in Miami, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; 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.