Bernadette Santos MD PA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

ME81152 Issued in FL

Legal business name

BERNADETTE SANTOS MD PA

Practice address

1503 Buenos Aires Blvd Ste 180
The Villages, FL 32159

Phone

(352) 323-1482

Fax

(352) 259-0748

NPI assigned

Jan 11, 2013

Last updated

May 29, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bernadette Santos, MD

Title

Owner

Phone

(352) 753-0581

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IJJADA

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maria B Santos, M.D.

  • Physical Medicine & Rehabilitation Physician
  • The Villages, FL
  • NPI 1497758221
  Medicare reassignment NPD
• Mohammad Kaleem, M.D., F.A.C.C.

  • Cardiovascular Disease Physician
  • Palatka, FL
  • NPI 1982762712
  NPD

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

{
    "created_epoch": "1357862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527552000000",
    "number": "1578800454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121A LAGRANDE BLVD STE A",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321591302",
            "telephone_number": "352-753-0581",
            "fax_number": "352-753-2078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 BUENOS AIRES BLVD STE 180",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "32159",
            "telephone_number": "352-323-1482",
            "fax_number": "352-259-0748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "737 Highway 466",
            "address_purpose": "LOCATION",
            "city": "Lady Lake",
            "state": "FL",
            "postal_code": "321596340",
            "country_code": "US",
            "telephone_number": "352-259-6334",
            "fax_number": "352-259-0748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "708 Physicians Ct",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "FL",
            "postal_code": "347487364",
            "country_code": "US",
            "telephone_number": "352-323-1482",
            "fax_number": "352-259-0748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BERNADETTE SANTOS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-11",
        "last_updated": "2018-05-29",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "BERNADETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-753-0581",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME81152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROVIDER NUMBER",
            "identifier": "P00601026",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143942097",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE PROVIDER NUMBER",
            "identifier": "143942097",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD PROVIDER NUMBER",
            "identifier": "51617",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Spencer Udell Bennion
• Laura L Benoit, PTA
• Derek David Benthusen, PT,DPT,ATC
• Adam Vincent Bergman, DMD
• Donald Eugene Berisford
• Maryann Berry, R.PH.
• Richard Berry Jr., R.PH.
• Pedro A. Betances, MD
• Betterurolife PA
• Brooks Betts, DO

• Physical Medicine & Rehabilitation Physician in The Villages, FL
• Providers in The Villages, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.