Individual provider Active NPI

Harlan Clayton Bieley, MD

  • General Practice Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1376627067
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME66700 Issued in FL
Practice address
11380 Prosperity Farms Rd Ste 114
Palm Beach Gardens, FL 33410-3464
Phone
(561) 842-7422
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME66700 FL Primary

Addresses

Primary practice location

11380 Prosperity Farms Rd Ste 114
Palm Beach Gardens, FL 33410-3464

Mailing address

8295 N Military TRL Ste K
West Palm Beach, FL 33410-6312
Phone (561) 842-7422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150827002296 FL Order and Referring Only - General PracticePractitioner - General Practice 8820067689

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1376627067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8295 N MILITARY TRL STE K",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334106312",
            "telephone_number": "561-842-7422",
            "fax_number": "561-842-0848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11380 PROSPERITY FARMS RD STE 114",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103464",
            "telephone_number": "561-842-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIELEY",
        "first_name": "HARLAN",
        "middle_name": "CLAYTON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME66700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.