Organization Active NPI

Bryan J Wasserman MD PA

  • Internal Medicine Physician
  • Delray Beach, FL
National Provider Identifier
1558301101
Registry record updated Dec 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME39253 Issued in FL
Legal business name
BRYAN J WASSERMAN MD PA
Practice address
5258 Linton Blvd
Ste 305
Delray Beach, FL 33484-6540
Phone
(561) 498-7501
NPI assigned
Jun 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2010

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

Authorized official

Name
Dr. Bryan J Wasserman, M.D.
Title
Group Doctor
Phone
(561) 498-7501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME39253 FL Primary

Addresses

Primary practice location

5258 Linton Blvd
Ste 305
Delray Beach, FL 33484-6540

Mailing address

5258 Linton Blvd
Ste 305
Delray Beach, FL 33484-6540
Phone (561) 357-9204

Other identifiers 1

IdentifierTypeStateIssuer
K0784OtherFLGROUP NUMBER

National Provider Directory

National Provider Directory

Locations

5258 Linton Blvd
Ste 305
Delray Beach, FL 33484
Phone (561) 496-4000

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293494400000",
    "number": "1558301101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5258 LINTON BLVD",
            "address_2": "STE 305",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846540",
            "telephone_number": "561-357-9204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5258 LINTON BLVD",
            "address_2": "STE 305",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846540",
            "telephone_number": "561-498-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN J WASSERMAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2010-12-28",
        "status": "A",
        "authorized_official_last_name": "WASSERMAN",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "GROUP DOCTOR",
        "authorized_official_telephone_number": "561-498-7501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME39253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NUMBER",
            "identifier": "K0784",
            "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 Dec 28, 2010; 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.