NPIMap

Organization Active NPI

Andre Vendryes MD PA

  • Family Medicine Physician
  • Vero Beach, FL
National Provider Identifier
1376561886
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0076203 Issued in FL
Legal business name
ANDRE VENDRYES MD PA
Practice address
3850 20TH St
Vero Beach, FL 32960-2472
Phone
(772) 299-3690
Fax
(772) 299-3680
NPI assigned
Jul 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Dr. Andre G Vendryes, M.D.
Title
President
Phone
(772) 299-3690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 0076203 FL Primary

Addresses

Primary practice location

3850 20TH St
Vero Beach, FL 32960-2472

Mailing address

3850 20TH St
Vero Beach, FL 32960-2472
Phone (772) 299-3690

Other identifiers 2

IdentifierTypeStateIssuer
44558OtherFLBLUE CROSS BLUE SHIELD FL
DD1359OtherFLMEDICARE RAILROAD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1376561886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 20TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329602472",
            "telephone_number": "772-299-3690",
            "fax_number": "772-299-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 20TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329602472",
            "telephone_number": "772-299-3690",
            "fax_number": "772-299-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDRE VENDRYES MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "VENDRYES",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-299-3690",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "0076203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD FL",
            "identifier": "44558",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DD1359",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.