Active NPI
Eric W Bussear, P.A.
- Physician Assistant
- Miami, FL
National Provider Identifier
1336160258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA3223
- Practice address
- 11760 Bird Rd
Suite 451
Miami, FL 33175-3582 - Phone
- (305) 227-9233
- Fax
- (305) 227-0658
- NPI assigned
- Jul 23, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA3223 | FL | Primary |
Addresses
Primary practice location
11760 Bird Rd
Suite 451
Miami, FL 33175-3582
Mailing address
11760 Bird Rd
Suite 451
Miami, FL 33175-3582
Phone (305) 227-9233
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8740 N Kendall Dr
Suite 101
Miami, FL 33176-2209
Phone (305) 661-8978
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skin Care Physicians | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414972800000",
"number": "1336160258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11760 BIRD RD",
"address_2": "SUITE 451",
"city": "MIAMI",
"state": "FL",
"postal_code": "331753582",
"telephone_number": "305-227-9233",
"fax_number": "305-227-0658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11760 BIRD RD",
"address_2": "SUITE 451",
"city": "MIAMI",
"state": "FL",
"postal_code": "331753582",
"telephone_number": "305-227-9233",
"fax_number": "305-227-0658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSSEAR",
"first_name": "ERIC",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-23",
"last_updated": "2014-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA3223",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.