Individual provider Active NPI

Bruce William Zukerberg, M.D

  • Internal Medicine Physician
  • Delray Beach, FL
National Provider Identifier
1548228729
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME68493 Issued in FL
Practice address
13590 Jog Rd
Ste 4-5
Delray Beach, FL 33446-3807
Phone
(561) 496-0833
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME68493 FL Primary

Addresses

Primary practice location

13590 Jog Rd
Ste 4-5
Delray Beach, FL 33446-3807

Mailing address

13590 Jog Rd
Ste 4-5
Delray Beach, FL 33446-3807
Phone (561) 496-0833

Other identifiers 1

IdentifierTypeStateIssuer
21543OtherFLGROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME68493FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle D Cohen MD PA Internal Medicine PastSince Sep 29, 2024 Accepting new patients
Palm Beach Efl Imaging Center LLC Past Accepting new patients
West Boynton Beach Open Imaging Center LLC Past Accepting new patients
Boca Radiology Group PA Past Accepting new patients

Organizations & group practices 4

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301961600000",
    "number": "1548228729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13590 JOG RD",
            "address_2": "STE 4-5",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334463807",
            "telephone_number": "561-496-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13590 JOG RD",
            "address_2": "STE 4-5",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334463807",
            "telephone_number": "561-496-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUKERBERG",
        "first_name": "BRUCE",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2011-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME68493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP",
            "identifier": "21543",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; 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.