Organization Active NPI

Peter R. Bendetson, M.D.

  • Medical Specialty Clinic/Center
  • Loxahatchee, FL
National Provider Identifier
1619477288
Registry record updated Feb 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
ME38840 Issued in FL
Legal business name
PETER R. BENDETSON, M.D.
Practice address
13005 Southern Blvd Ste 231
Loxahatchee, FL 33470-9272
Phone
(561) 328-9434
Fax
(561) 469-2496
NPI assigned
Feb 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2018

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

Authorized official

Name
Peter Rome Bendeston, MD
Title
Sole Proprietor
Phone
(561) 328-9434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X ME38840 FL Primary

Addresses

Primary practice location

13005 Southern Blvd Ste 231
Loxahatchee, FL 33470-9272

Mailing address

13005 Southern Blvd Ste 231
Loxahatchee, FL 33470-9272
Phone (561) 328-9434

National Provider Directory

National Provider Directory

Locations

13005 Southern Blvd
Ste 231
Loxahatchee, FL 33470
Phone (561) 328-9434

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519084800000",
    "number": "1619477288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13005 SOUTHERN BLVD STE 231",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709272",
            "telephone_number": "561-328-9434",
            "fax_number": "561-469-2496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13005 SOUTHERN BLVD STE 231",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709272",
            "telephone_number": "561-328-9434",
            "fax_number": "561-469-2496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER R. BENDETSON, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-02-20",
        "status": "A",
        "authorized_official_last_name": "BENDESTON",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "ROME",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "561-328-9434",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME38840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loxahatchee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; 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.