Bird Rd Medical Center Inc

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

BIRD RD MEDICAL CENTER INC

Practice address

8485 SW 40TH Street
102
Miami, FL 33155-3262

Phone

(305) 551-3412

Fax

(305) 551-1945

NPI assigned

Aug 21, 2006

Organization subpart

No

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

Authorized official

Name

Dora Q ReyesNPI 1578679932

Title

Secretary/Treasurer

Phone

(305) 551-3412

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• BIRD ROAD PODIATRY Other name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 7

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

• Javier Francisco Maribona, D.P.M.

  • Foot Surgery Podiatrist
  • Miami, FL
  • NPI 1285675520
  Medicare reassignment Care Compare group NPD
• Travis Cameron Martin, DPM

  • Foot & Ankle Surgery Podiatrist
  • Miami, FL
  • NPI 1194260950

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Eric Stephen Mascellino, DPM

  • Primary Podiatric Medicine Podiatrist
  • Boynton Beach, FL
  • NPI 1609438282
  Medicare reassignment Care Compare group NPD
• Eduardo Marino Reyes, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Miami, FL
  • NPI 1841550837
  Medicare reassignment Care Compare group NPD
• Abir Zafar, DPM, MS

  • Podiatrist
  • Miami, FL
  • NPI 1558960393
  Medicare reassignment Care Compare group NPD
• Dora Q Reyes

  • Orthotist
  • Miami, FL
  • NPI 1578679932
  NPD Authorized official
• Jennifer Rosello Reyes, DPM

  • Foot & Ankle Surgery Podiatrist
  • Miami, FL
  • NPI 1821399569
  Medicare reassignment

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404950400000",
    "number": "1346356847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8485 SW 40TH STREET",
            "address_2": "102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553262",
            "telephone_number": "305-551-3412",
            "fax_number": "305-551-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8485 SW 40TH STREET",
            "address_2": "102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553262",
            "telephone_number": "305-551-3412",
            "fax_number": "305-551-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRD RD MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2014-07-10",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "DORA",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "305-551-3412"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029791700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BIRD ROAD PODIATRY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jeffrey Birchell, MS, LAT, ATC, CES
• Celeste Anahi Birckenstaedt
• Bird Galloway Health LLC
• Bird Lakes Facility Care Inc
• Bird Medical Services Corporation
• Bird Road Dental Care Inc.
• Bird Road Health Care, LLC
• Bird Road Optical, Inc.
• Bird Road Pharmacy
• Bird Road Pharmacy & Discount Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; 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.