Individual provider Active NPI

Bruce S Rubin, M.D.

  • Neurology Physician
  • Doral, FL
National Provider Identifier
1588674014
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME69626 Issued in FL
Practice address
2801 NW 87TH Ave
Unit 7
Doral, FL 33172-1603
Phone
(305) 653-5155
NPI assigned
Aug 8, 2006
Last updated
Dec 6, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME69626 FL Primary

Addresses

Primary practice location

2801 NW 87TH Ave
Unit 7
Doral, FL 33172-1603

Mailing address

2801 NW 87TH Ave
Unit 7
Doral, FL 33172-1603
Phone (305) 653-5155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070117000093 FL Practitioner - NeurologyPractitioner - NeurosurgeryPractitioner - Neuropsychiatry 1153322219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Neuropsychiatry, Neurosurgery
Education
State University of Ny Upstate Medical University, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Design Neuroscience Center PLGroup PAC ID 9032110192, 23 clinicians

Practice addresses (Care Compare)

14400 NW 77TH CT
Suite 306
Miami Lakes, FL 33016-1592
Phone (305) 653-5155

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME69626FLMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Design Neuroscience Center PL CurrentSince Sep 1, 2006 Accepting new patients
University of Miami Neurology Past Accepting new patients
University of Miami Neurology Past Accepting new patients

Locations

2801 NW 87th Ave
Ste 7
Doral, FL 33172
Phone (305) 653-5155

8875 NW 23rd St
Doral, FL 33172
Phone (305) 653-5155

21110 Biscayne Blvd
Ste 201
Miami, FL 33180
Phone (305) 653-5155

14400 NW 77th Ct
Ste 306
Miami Lakes, FL 33016
Phone (305) 653-5155

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1588674014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 NW 87TH AVE",
            "address_2": "UNIT 7",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331721603",
            "telephone_number": "305-653-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 NW 87TH AVE",
            "address_2": "UNIT 7",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331721603",
            "telephone_number": "305-653-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "BRUCE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME69626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

Verify at the official NPI Registry.