Organization Active NPI

Khari Bridges, MD LLC

Doing business as Miami Dermatology and Cosmetics

  • Dermatology Physician
  • Miami, FL
National Provider Identifier
1619302643
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME99204 Issued in FL
Legal business name
KHARI BRIDGES, MD LLC
Doing business as
Miami Dermatology and Cosmetics
Practice address
8950 SW 74TH CT
Suite 1413
Miami, FL 33156-3171
Phone
(305) 670-0146
Fax
(305) 670-8943
NPI assigned
Sep 10, 2013
Last updated
Sep 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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

Authorized official

Name
Ana Guzman
Title
Office Manager
Phone
(305) 670-0146

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME99204 FL Primary

Addresses

Primary practice location

8950 SW 74TH CT
Suite 1413
Miami, FL 33156-3171

Mailing address

8950 SW 74TH CT
Suite 1413
Miami, FL 33156-3171
Phone (305) 670-0146

Other names 1

  • Miami Dermatology and Cosmetics Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0282333Miami Dermatology and Cosmetics Prime LLC8950 SW 74TH CT Ste 1413, Miami, FL 33156ComplianceMay 24, 2027

National Provider Directory

National Provider Directory

Locations

8950 SW 74th Ct
Ste 1413
Miami, FL 33156
Phone (305) 670-0146

NPI Registry JSON

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378771200000",
    "number": "1619302643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 SW 74TH CT",
            "address_2": "SUITE 1413",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331563171",
            "telephone_number": "305-670-0146",
            "fax_number": "305-670-8943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 SW 74TH CT",
            "address_2": "SUITE 1413",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331563171",
            "telephone_number": "305-670-0146",
            "fax_number": "305-670-8943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHARI BRIDGES, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-10",
        "last_updated": "2013-09-10",
        "status": "A",
        "authorized_official_last_name": "GUZMAN",
        "authorized_official_first_name": "ANA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "305-670-0146"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME99204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miami Dermatology and Cosmetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.