Individual provider Active NPI

Patricia L. Bierut-Daren, D.O.

  • Family Medicine Physician
  • Plantation, FL
National Provider Identifier
1447257175
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS8245 Issued in FL
Practice address
350 NW 84TH Ave Ste 109
Plantation, FL 33324-1847
Phone
(954) 424-4321
Fax
(954) 424-0765
NPI assigned
Jul 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS8245 FL Primary

Addresses

Primary practice location

350 NW 84TH Ave Ste 109
Plantation, FL 33324-1847

Mailing address

4780 SW 64TH Ave Ste 103
Davie, FL 33314-4400
Phone (954) 431-1705

Other identifiers 2

IdentifierTypeStateIssuer
OS8245OtherFLSTATE LICENSE
080194758OtherFLMEDICARE RAILROAD CARRIER

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
I20100206000001 FL Practitioner - Family PracticePractitioner - Emergency Medicine 5799686762 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Associatesmd Medical Group Inc CurrentSince Feb 1, 2020 Accepting new patients
Associatesmd Medical Group Inc Family Medicine CurrentSince Feb 1, 2020 Accepting new patients

Locations

4780 SW 64th Ave
Ste 101
Davie, FL 33314

4780 SW 64th Ave
Ste 103
Davie, FL 33314

1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000

350 NW 84th Ave
Ste 109
Plantation, FL 33324
Phone (954) 424-9444

Interoperability endpoints

  • Direct secure messaging: patricia.bierut-daren.1@15445.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1447257175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4780 SW 64TH AVE STE 103",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333144400",
            "telephone_number": "954-431-1705",
            "fax_number": "954-434-1882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 NW 84TH AVE STE 109",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241847",
            "telephone_number": "954-424-4321",
            "fax_number": "954-424-0765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIERUT-DAREN",
        "first_name": "PATRICIA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS8245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "OS8245",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD CARRIER",
            "identifier": "080194758",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.