Organization Active NPI

Secure Trust Physician Medical Billing, LLC

  • Point of Service
  • Miramar, FL
National Provider Identifier
1538853213
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
Legal business name
SECURE TRUST PHYSICIAN MEDICAL BILLING, LLC
Practice address
2907 SW 67TH Lane
Miramar, FL 33023
Phone
(754) 204-2190
NPI assigned
Jun 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Authorized official

Name
Sadrina S Green
Title
Owner/Director of Operations
Phone
(754) 204-2190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X Primary

Addresses

Primary practice location

2907 SW 67TH Lane
Miramar, FL 33023

Mailing address

14900 SW 30TH St Unit 278043
Miramar, FL 33027-7228
Phone (754) 204-2190

National Provider Directory

National Provider Directory

Locations

14900 SW 30th St
Unit 278043
Miramar, FL 33027

NPI Registry JSON

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1538853213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14900 SW 30TH ST UNIT 278043",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330277228",
            "telephone_number": "754-204-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2907 SW 67TH LANE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "33023",
            "telephone_number": "754-204-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECURE TRUST PHYSICIAN MEDICAL BILLING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-05-24",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "SADRINA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "754-204-2190"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.