Kevin Paul Bethel, M.D. C.M. F.A.A.R.M.

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

BMC1019 Issued in FL

Practice address

7949 Fairway Blvd
Miramar, FL 33023-6417

Phone

(305) 454-1768

Fax

(242) 374-4822

NPI assigned

Mar 25, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237939200000",
    "number": "1619119401",
    "addresses": [
        {
            "country_code": "BS",
            "country_name": "Bahamas",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "10 CORAL ROAD",
            "address_2": "PO BOX F41325",
            "city": "FREEPORT",
            "state": "GRAND BAHAMA",
            "postal_code": "33023",
            "telephone_number": "242-374-5424",
            "fax_number": "242-374-4822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7949 FAIRWAY BLVD",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330236417",
            "telephone_number": "305-454-1768",
            "fax_number": "242-374-4822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETHEL",
        "first_name": "KEVIN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D. C.M. F.A.A.R.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-25",
        "last_updated": "2009-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "FL",
            "license": "BMC1019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sports Medicine (Family Medicine) Physician in Miramar, FL
• Providers in Miramar, FL by specialty
• Sports Medicine (Family Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; 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.