Organization Active NPI

Stephan a Bart Sr MD PA

  • Family Medicine Physician
  • Inverness, FL
National Provider Identifier
1548221104
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME64842 Issued in FL
Legal business name
STEPHAN A BART SR MD PA
Practice address
204 S Apopka Ave
Inverness, FL 34452-4803
Phone
(352) 341-1159
Fax
(352) 341-2718
NPI assigned
Mar 31, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Stephan A Bart Sr., MD
Title
President
Phone
(352) 341-1159

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X ME64842 FL Primary

Addresses

Primary practice location

204 S Apopka Ave
Inverness, FL 34452-4803

Mailing address

204 S Apopka Ave
Inverness, FL 34452-4803
Phone (352) 341-1159

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548221104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 S APOPKA AVE",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344524803",
            "telephone_number": "352-341-1159",
            "fax_number": "352-341-2718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 S APOPKA AVE",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344524803",
            "telephone_number": "352-341-1159",
            "fax_number": "352-341-2718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHAN A BART SR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BART",
        "authorized_official_first_name": "STEPHAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-341-1159",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME64842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inverness, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.