Individual provider Active NPI

Jose Berthe, MD

  • Obstetrics & Gynecology Physician
  • Coral Springs, FL
National Provider Identifier
1447250964
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
87574 Issued in FL
Practice address
9750 NW 33Rd St Ste 111
Coral Springs, FL 33065-4000
Phone
(954) 368-9656
Fax
(954) 368-9356
NPI assigned
Jul 27, 2005
Last updated
Nov 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 87574 FL Primary
Obstetrics Physician 207VX0000X ME87574 FL

Addresses

Primary practice location

9750 NW 33Rd St Ste 111
Coral Springs, FL 33065-4000

Mailing address

9750 NW 33Rd St Ste 111
Coral Springs, FL 33065-4000
Phone (954) 368-9656

Other identifiers 2

IdentifierTypeStateIssuer
267205700MedicaidFL
49081OtherBLUE CROSS BLUE SHIELD

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
I20040928000143 FL Practitioner - Obstetrics/Gynecology 7113996166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitalmd Group Holding LLCGroup PAC ID 8921091786, 535 clinicians

Practice addresses (Care Compare)

3225 Aviation Ave
Suite 700
Miami, FL 33133-4741
Phone (305) 273-4641

9750 NW 33Rd St
120 Florida Perinatal Center LLC
Coral Springs, FL 33065-4000
Phone (954) 255-5799

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
87574FLMDObstetrics & Gynecology Physician
ME87574FLMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Institute for Women's Health and Body, LLC Obstetrics & Gynecology PastSince Jan 15, 2019 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1447250964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9750 NW 33RD ST STE 111",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654000",
            "telephone_number": "954-368-9656",
            "fax_number": "954-368-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9750 NW 33RD ST STE 111",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654000",
            "telephone_number": "954-368-9656",
            "fax_number": "954-368-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTHE",
        "first_name": "JOSE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-27",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "87574",
            "primary": true
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "FL",
            "license": "ME87574",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267205700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "49081",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.