Bahman Venus,M.D, P.a.

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

Legal business name

BAHMAN VENUS,M.D, P.A.

Practice address

3625 University Blvd S
Jacksonville, FL 32216-4207

Phone

(904) 399-6111

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Bruce P Krieger, M.D.

Title

President

Phone

(904) 399-6097

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298332800000",
    "number": "1386721785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 863007",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328863007",
            "telephone_number": "904-396-5558",
            "fax_number": "904-396-4279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 UNIVERSITY BLVD S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164207",
            "telephone_number": "904-399-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAHMAN VENUS,M.D, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2011-02-22",
        "status": "A",
        "authorized_official_last_name": "KRIEGER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-399-6097",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "062000900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Bagwell, MD
• Valerie Baham
• Jessica N Bahari-Kashani, M.D.
• Marilynn Smith Bahari, LCSW
• Abdalagani A. Baher, M.D.
• Alexandria Bahnsen, OTR/L
• Bahri Dental Group
• Bahri Orthopedics & Sports Medicine Clinic, P.L.
• Bahri Orthopedics Institute
• Gaby Bahri, D.D.S.

• Critical Care Medicine (Internal Medicine) Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Critical Care Medicine (Internal Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; 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.