Bjorn Dimberg, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

ME79869 Issued in FL

Practice address

2254 Highway A1A
Indian Harbour Beach, FL 32937-4922

Phone

(321) 777-2273

Fax

(321) 779-7425

NPI assigned

May 31, 2005

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 3

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

Specialty

Emergency Medicine

Education

University of South Florida College of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Atlantis Urgent Care LLCGroup PAC ID 6305895111, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Holmes Regional Medical Center Hospital, Melbourne, FL, CCN 100019

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Atlantis Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Indian Harbour Beach, FL
  • NPI 1821280579
  Medicare reassignment Care Compare group NPD Authorized official
• Atlantis Urgent Care Inc

  • Non-Pharmacy Dispensing Site
  • Indian Harbour Beach, FL
  • NPI 1326451675
  NPD
• Wuesthoff Emergency Physicians PA

  • Emergency Medicine Physician
  • Rockledge, FL
  • NPI 1831192244
  NPD (past)
• Wuesthoff Emergency Physicians-Melbourne PA

  • Emergency Medicine Physician
  • Melbourne, FL
  • NPI 1508868886
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Holmes Regional Medical Center, Inc.

  • Air Ambulance
  • Melbourne, FL
  • NPI 1235312281

  Hospital

  Care Compare affiliation
• Holmes Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Melbourne, FL
  • NPI 1295702728
  Care Compare affiliation

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370563200000",
    "number": "1417950809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2254 HIGHWAY A1A",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329374922",
            "telephone_number": "321-777-2273",
            "fax_number": "321-779-7425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2254 HIGHWAY A1A",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329374922",
            "telephone_number": "321-777-2273",
            "fax_number": "321-779-7425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMBERG",
        "first_name": "BJORN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2013-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME79869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS # FOR GROUP # 34457",
            "identifier": "51660",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS # FOR GROUP # 45368",
            "identifier": "51660",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258653300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret Mary Deford
• Melissa Kay Delcher
• Amber Dawn Denny, RDH, CDA
• April Anne Denton
• Sheila Diaz
• Michele Dimberg, ARNP
• Divine UC Chiropractic, PLLC
• DMSP LLC
• Marcus Daniel Dobbins, DPT
• Dockside Chiropractic LLC

• Emergency Medicine Physician in Indian Harbour Beach, FL
• Providers in Indian Harbour Beach, FL by specialty
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.