Bertram Grapin

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME11159 Issued in FL

Practice address

2552 Bay Pointe Dr
Weston, FL 33327-1421

Phone

(954) 888-4654

NPI assigned

Nov 4, 2013

Last updated

Nov 4, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383523200000",
    "number": "1407285042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2552 BAY POINTE DR",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333271421",
            "telephone_number": "954-888-4654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2552 BAY POINTE DR",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333271421",
            "telephone_number": "954-888-4654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAPIN",
        "first_name": "BERTRAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-04",
        "last_updated": "2013-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME11159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA MEDICAL LICENSE",
            "identifier": "ME11159",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mike Wood Gracia, APRN
• Gracious Mind P.a.
• Barbara Icylin Graham-Samuels, RN
• Amanda Raveli Grant, APRN-BC
• Avalon Karen Grantham, APRN, FNP-BC
• Greater Florida Anesthesiologists, LLC
• Jacqueline Grecko, LCSW
• Beverly Cypen Greenberg, D.O.
• Ryan Merrill Greene, MD, PHD
• Aleyah Monique Greer

• Internal Medicine Physician in Weston, FL
• Providers in Weston, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; 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.