Organization Active NPI

Reflections OBGYN LLC

  • Clinic/Center
  • Viera, FL
National Provider Identifier
1356583165
Registry record updated Aug 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
REFLECTIONS OBGYN LLC
Practice address
1705 Berglund LN
Suite 102
Viera, FL 32940-6231
Phone
(321) 610-8955
Fax
(321) 610-8954
NPI assigned
Mar 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2012

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

Authorized official

Name
Dr. Mark Sargent, M.D.
Title
Physician
Phone
(321) 610-8955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1705 Berglund LN
Suite 102
Viera, FL 32940-6231

Mailing address

1705 Berglund LN
Suite 102
Viera, FL 32940-6231
Phone (321) 610-8955

Other identifiers 1

IdentifierTypeStateIssuer
269307100MedicaidFL

National Provider Directory

National Provider Directory

Locations

1705 Berglund Ln
Ste 102
Viera, FL 32940
Phone (321) 294-5800

NPI Registry JSON

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

{
    "created_epoch": "1238025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345075200000",
    "number": "1356583165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 BERGLUND LN",
            "address_2": "SUITE 102",
            "city": "VIERA",
            "state": "FL",
            "postal_code": "329406231",
            "telephone_number": "321-610-8955",
            "fax_number": "321-610-8954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 BERGLUND LN",
            "address_2": "SUITE 102",
            "city": "VIERA",
            "state": "FL",
            "postal_code": "329406231",
            "telephone_number": "321-610-8955",
            "fax_number": "321-610-8954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFLECTIONS OBGYN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-26",
        "last_updated": "2012-08-16",
        "status": "A",
        "authorized_official_last_name": "SARGENT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "321-610-8955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269307100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Viera, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; 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.