Organization Active NPI

Stuart J Bernstein M D P a

  • Pulmonary Disease Physician
  • Aventura, FL
National Provider Identifier
1346349156
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
STUART J BERNSTEIN M D P A
Practice address
21110 Biscayne Blvd
Suite 405
Aventura, FL 33180-1227
Phone
(305) 937-4400
Fax
(305) 931-5625
NPI assigned
Sep 21, 2006
Last updated
Jun 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

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

Authorized official

Name
Ms. Irma Tanner
Title
Administrator
Phone
(305) 937-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X NU Primary

Addresses

Primary practice location

21110 Biscayne Blvd
Suite 405
Aventura, FL 33180-1227

Mailing address

21110 Biscayne Blvd
Suite 405
Aventura, FL 33180-1227
Phone (305) 937-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040310000918 FL Part B Supplier - Clinic/Group Practice 3971491812 Receives reassigned benefits from 5 practitioners
Practice locations: Aventura, FL; Hollywood, FL; Margate, FL; Miami, FL; North Miami Beach, FL

National Provider Directory

National Provider Directory

Locations

2777 NE 183rd St
Aventura, FL 33160
Phone (305) 405-2014

2785 NE 183rd St
Ste 300
Aventura, FL 33160
Phone (305) 531-7533

1859 Van Buren St
Hollywood, FL 33020
Phone (954) 920-0900

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277683200000",
    "number": "1346349156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21110 BISCAYNE BLVD",
            "address_2": "SUITE 405",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801227",
            "telephone_number": "305-937-4400",
            "fax_number": "305-931-5625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21110 BISCAYNE BLVD",
            "address_2": "SUITE 405",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801227",
            "telephone_number": "305-937-4400",
            "fax_number": "305-931-5625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUART J BERNSTEIN M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2010-06-28",
        "status": "A",
        "authorized_official_last_name": "TANNER",
        "authorized_official_first_name": "IRMA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-937-4400",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; 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.