Nabil Barsoum MD PA

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

0047714 Issued in FL

Legal business name

NABIL BARSOUM MD PA

Practice address

100 S Military Trail
Suite 10
Deerfield Beach, FL 33442

Phone

(954) 426-9600

Fax

(954) 426-2257

NPI assigned

Jan 10, 2007

Organization subpart

No

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

Authorized official

Name

Nabil A Barsoum, MDNPI 1396717278

Title

President

Phone

(954) 426-9600

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nabil Attalla Barsoum, MD

  • Pain Medicine (Anesthesiology) Physician
  • Deerfield Beach, FL
  • NPI 1396717278
  Medicare reassignment Care Compare group NPD Authorized official
• Elizabeth Barsoum, ARNP

  • Family Nurse Practitioner
  • Deerfield Beach, FL
  • NPI 1427449735
  Medicare reassignment Care Compare group NPD
• Michelle Gibbons, ARNP

  • Nurse Practitioner
  • Deerfield Beach, FL
  • NPI 1386633014
  Medicare reassignment Care Compare group NPD
• Emilia Urda, ARNP

  • Health Educator
  • Dania, FL
  • NPI 1275906687
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473379200000",
    "number": "1437208998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S MILITARY TRAIL",
            "address_2": "SUITE 10",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "33442",
            "telephone_number": "954-426-9600",
            "fax_number": "954-426-2257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S MILITARY TRAIL",
            "address_2": "SUITE 10",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "33442",
            "telephone_number": "954-426-9600",
            "fax_number": "954-426-2257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NABIL BARSOUM MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2016-09-09",
        "status": "A",
        "authorized_official_last_name": "BARSOUM",
        "authorized_official_first_name": "NABIL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-426-9600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "0047714",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "0047714",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "0047714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "048800399",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• My Favorite Therapists, LLC
• Andrea Kay Myers, LCSW, CAP
• Delaney Myers
• Joan T Myers
• Joy Juliet Myers
• Paul Nagib, MD
• John-Michael Nagle
• Iad Naji, MD
• Najla Sallum Counseling, Inc
• Joanne Nakopoulos

• Interventional Pain Medicine Physician in Deerfield Beach, FL
• Providers in Deerfield Beach, FL by specialty
• Interventional Pain Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.