Organization Active NPI

Bentley Sunrise PA

  • Specialist
  • Fort Lauderdale, FL
National Provider Identifier
1386161313
Registry record updated Aug 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
BENTLEY SUNRISE PA
Practice address
715 Bayshore Dr Apt 406
Fort Lauderdale, FL 33304-3990
Phone
(646) 263-8112
NPI assigned
Aug 30, 2017
Last updated
Aug 30, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2017

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

Authorized official

Name
Bernard Wesley Bentley
Title
Owner
Phone
(646) 263-8112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

715 Bayshore Dr Apt 406
Fort Lauderdale, FL 33304-3990

Mailing address

715 Bayshore Dr Apt 406
Fort Lauderdale, FL 33304-3990

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504051200000",
    "number": "1386161313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 BAYSHORE DR APT 406",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 BAYSHORE DR APT 406",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043990",
            "telephone_number": "646-263-8112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENTLEY SUNRISE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-30",
        "last_updated": "2017-08-30",
        "status": "A",
        "authorized_official_last_name": "BENTLEY",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-263-8112"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2017; 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.