Bsam Holdings Inc

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

BSAM HOLDINGS INC

Doing business as

Sleep Disorder Solutions Port St Lucie

Practice address

525 NW Lake Whitney PL
BLDG P - Ste 103
Port St Lucie, FL 34986-1605

Phone

(772) 323-2660

Fax

(772) 323-2666

NPI assigned

Jun 23, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Nicole Mahabir-HerreraNPI 1578154274

Title

MGRM

Phone

(772) 323-2660

Specialties & licenses 2

Addresses

Other names 1

• SLEEP DISORDER SOLUTIONS PORT ST LUCIE Doing business as

Locations

Practitioners 1

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

• Nicole M Mahabir-Herrera, PHARMD

  • Pharmacist
  • Lubbock, TX
  • NPI 1578154274
  NPD Authorized official

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240185600000",
    "number": "1346401270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 NW LAKE WHITNEY PL",
            "address_2": "BLDG P - STE 103",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349861605",
            "telephone_number": "772-323-2660",
            "fax_number": "772-323-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 NW LAKE WHITNEY PL",
            "address_2": "BLDG P - STE 103",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349861605",
            "telephone_number": "772-323-2660",
            "fax_number": "772-323-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BSAM HOLDINGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-23",
        "last_updated": "2009-04-20",
        "status": "A",
        "authorized_official_last_name": "MAHABIR-HERRERA",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "MGRM",
        "authorized_official_telephone_number": "772-323-2660",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SLEEP DISORDER SOLUTIONS PORT ST LUCIE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Bruno
• Sonia Bryan
• Ashley Nicole Bryant
• Payton M. Bryant
• Paula Bryson, M.A.
• Eliot Andrew Budnick, D.O.
• Luden Bunch
• Stacy Adelle Burch, RBT
• Shannon Marie Burdick, RDH
• Melinda Burdiss, PTA

• Sleep Disorder Diagnostic Clinic/Center in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Sleep Disorder Diagnostic Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; 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.