Individual provider Active NPI

Sebastian Hugo Verne, MD

  • Dermatopathology Physician
  • Pompano Beach, FL
National Provider Identifier
1417440512
Registry record updated Jul 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
ME160241 Issued in FL
Practice address
895 SW 30TH Ave Ste 101
Pompano Beach, FL 33069-4887
Phone
(800) 330-6770
NPI assigned
Jun 13, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology Physician 207ND0900X ME160241 FL Primary

Addresses

Primary practice location

895 SW 30TH Ave Ste 101
Pompano Beach, FL 33069-4887

Mailing address

895 SW 30TH Ave Ste 101
Pompano Beach, FL 33069-4887

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
I20180828001647 FL Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 3870842644

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME160241FLMDDermatopathology Physician

Networks

  • Optimum HealthCare HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689984000000",
    "number": "1417440512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 SW 30TH AVE STE 101",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330694887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 SW 30TH AVE STE 101",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330694887",
            "telephone_number": "800-330-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERNE",
        "first_name": "SEBASTIAN",
        "middle_name": "HUGO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-13",
        "last_updated": "2023-07-22",
        "certification_date": "2023-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "FL",
            "license": "ME160241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

Verify at the official NPI Registry.