Organization Active NPI

Paule Bazile, LLC

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1518296573
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PAULE BAZILE, LLC
Doing business as
Clinique Bazile
Practice address
6464 N. Miami Ave
Miami, FL 33150-4520
Phone
(305) 756-8890
Fax
(305) 758-5769
NPI assigned
Dec 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Authorized official

Name
Charles H Richard, DO
Title
DO/Director
Phone
(305) 756-8890

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Medical Specialty Clinic/Center 261QM2500X

Addresses

Primary practice location

6464 N. Miami Ave
Miami, FL 33150-4520

Mailing address

6464 N. Miami Ave
Miami, FL 33150-4520
Phone (305) 756-8890

Other names 1

  • Clinique Bazile Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2015318Clinique Bazile6464 N Miami Ave, Miami, FL 33150Certificate of waiverOct 25, 2026

National Provider Directory

National Provider Directory

Locations

6464 N Miami Ave
Miami, FL 33150
Phone (305) 756-8890

NPI Registry JSON

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

{
    "created_epoch": "1261353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583712000000",
    "number": "1518296573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6464 N. MIAMI AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331504520",
            "telephone_number": "305-756-8890",
            "fax_number": "305-758-5769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6464 N. MIAMI AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331504520",
            "telephone_number": "305-756-8890",
            "fax_number": "305-758-5769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULE BAZILE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-21",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A",
        "authorized_official_last_name": "RICHARD",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DO/DIRECTOR",
        "authorized_official_telephone_number": "305-756-8890",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinique Bazile",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clinique Bazile",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.