Organization Active NPI

Privee Miami LLC

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1356929137
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PRIVEE MIAMI LLC
Doing business as
Privee Clinics
Practice address
1395 Brickell Ave Ste 200
Miami, FL 33131-3312
Phone
(305) 396-6993
NPI assigned
Apr 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Authorized official

Name
Bankole Johnson, MD
Title
Owner
Phone
(434) 466-7578

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1395 Brickell Ave Ste 200
Miami, FL 33131-3312

Mailing address

1395 Brickell Ave Ste 200
Miami, FL 33131-3312

Other names 1

  • Privee Clinics Doing business as

National Provider Directory

National Provider Directory

Locations

1395 Brickell Ave
Ste 200
Miami, FL 33131
Phone (305) 396-6993

NPI Registry JSON

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617235200000",
    "number": "1356929137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 BRICKELL AVE STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331313312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 BRICKELL AVE STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331313312",
            "telephone_number": "305-396-6993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVEE MIAMI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-01",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BANKOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-466-7578",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Privee Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 1, 2021; 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.