Organization Active NPI

Alan Balsam M D P a

  • Endocrinology, Diabetes & Metabolism Physician
  • Deerfield Beach, FL
National Provider Identifier
1508026485
Registry record updated Mar 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME22243 Issued in FL
Legal business name
ALAN BALSAM M D P A
Practice address
3275 W Hillsboro Blvd
Suite 210
Deerfield Beach, FL 33442-9536
Phone
(954) 426-2898
Fax
(954) 428-2769
NPI assigned
Jun 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2013

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

Authorized official

Name
Dr. Alan Balsam, M.D.NPI 1508922618
Title
President
Phone
(561) 350-3100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X ME22243 FL Primary

Addresses

Primary practice location

3275 W Hillsboro Blvd
Suite 210
Deerfield Beach, FL 33442-9536

Mailing address

3275 W Hillsboro Blvd
Suite 210
Deerfield Beach, FL 33442-9536
Phone (954) 426-2898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081022000721 FL Part B Supplier - Clinic/Group Practice 9537227301 Receives reassigned benefits from 1 practitioner
Practice locations: Deerfield Beach, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364515200000",
    "number": "1508026485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3275 W HILLSBORO BLVD",
            "address_2": "SUITE 210",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334429536",
            "telephone_number": "954-426-2898",
            "fax_number": "954-428-2769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3275 W HILLSBORO BLVD",
            "address_2": "SUITE 210",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334429536",
            "telephone_number": "954-426-2898",
            "fax_number": "954-428-2769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN BALSAM M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-13",
        "last_updated": "2013-03-29",
        "status": "A",
        "authorized_official_last_name": "BALSAM",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-350-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME22243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.