Organization Active NPI

Bengal Medical Group

  • Chiropractor
  • Sunrise, FL
National Provider Identifier
1487104535
Registry record updated Oct 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8947 Issued in FL
Legal business name
BENGAL MEDICAL GROUP
Practice address
8870 W Oakland Park Blvd
Ste 102
Sunrise, FL 33351-7215
Phone
(954) 906-1210
Fax
(954) 306-6654
NPI assigned
Oct 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2016

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

Authorized official

Name
Barry Fay, DC
Title
President
Phone
(954) 906-4210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH8947 FL Primary

Addresses

Primary practice location

8870 W Oakland Park Blvd
Ste 102
Sunrise, FL 33351-7215

Mailing address

8870 W Oakland Park Blvd
Ste 102
Sunrise, FL 33351-7215
Phone (954) 906-1210

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476230400000",
    "number": "1487104535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8870 W OAKLAND PARK BLVD",
            "address_2": "STE 102",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517215",
            "telephone_number": "954-906-1210",
            "fax_number": "954-306-6654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8870 W OAKLAND PARK BLVD",
            "address_2": "STE 102",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517215",
            "telephone_number": "954-906-1210",
            "fax_number": "954-306-6654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENGAL MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-12",
        "last_updated": "2016-10-12",
        "status": "A",
        "authorized_official_last_name": "FAY",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-906-4210",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.