Individual provider Active NPI

Bertrand Sorel, DMD, M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Palm City, FL
National Provider Identifier
1508885591
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN15744 Issued in FL
Practice address
1203 SW Sunset TRL
Palm City, FL 34990-3342
Phone
(772) 219-9979
Fax
(772) 219-9975
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN15744 FL Primary

Addresses

Primary practice location

1203 SW Sunset TRL
Palm City, FL 34990-3342

Mailing address

1203 SW Sunset TRL
Palm City, FL 34990-3342
Phone (772) 219-9979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170822003189 NY Practitioner - Oral Surgery 3173774577 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ellis Hospital CurrentSince Jul 1, 2017 Accepting new patients
Jack J. Hirschfeld DDS PA Oral and Maxillofacial Surgery PastSince May 6, 2011 Accepting new patients

Locations

1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916

600 McClellan St
Schenectady, NY 12304
Phone (518) 382-2000

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508885591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 SW SUNSET TRL",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349903342",
            "telephone_number": "772-219-9979",
            "fax_number": "772-219-9975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 SW SUNSET TRL",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349903342",
            "telephone_number": "772-219-9979",
            "fax_number": "772-219-9975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOREL",
        "first_name": "BERTRAND",
        "credential": "DMD, M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN15744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm City, FL

Sources for this page

Verify at the official NPI Registry.