Individual provider Active NPI

Jeffrey Bettinger, M.D.

  • Emergency Medicine Physician
  • Miami, FL
National Provider Identifier
1508137563
Registry record updated Jan 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME26458 Issued in FL
Practice address
2000 S Bayshore Dr
Villa 45
Miami, FL 33133-3256
Phone
(305) 860-3098
Fax
(305) 860-3099
NPI assigned
Jan 23, 2012
Last updated
Jan 23, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME26458 FL Primary

Addresses

Primary practice location

2000 S Bayshore Dr
Villa 45
Miami, FL 33133-3256

Mailing address

2000 S Bayshore Dr
Villa 45
Miami, FL 33133-3256
Phone (305) 860-3098

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
I20160401000035 FL Order and Referring Only - Emergency MedicinePractitioner - Emergency Medicine 5698072908

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327276800000",
    "number": "1508137563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S BAYSHORE DR",
            "address_2": "VILLA 45",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331333256",
            "telephone_number": "305-860-3098",
            "fax_number": "305-860-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S BAYSHORE DR",
            "address_2": "VILLA 45",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331333256",
            "telephone_number": "305-860-3098",
            "fax_number": "305-860-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETTINGER",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-23",
        "last_updated": "2012-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME26458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.