Individual provider Active NPI

Bruce I Hindin, D.O.

  • Interventional Pain Medicine Physician
  • Wellington, FL
National Provider Identifier
1629071261
Registry record updated Aug 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
OS04484 Issued in FL
Practice address
2585 South State Road 7
Ste 110
Wellington, FL 33414-9323
Phone
(561) 795-8655
Fax
(561) 795-3275
NPI assigned
May 27, 2005
Last updated
Aug 17, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X OS04484 FL Primary

Addresses

Primary practice location

2585 South State Road 7
Ste 110
Wellington, FL 33414-9323

Mailing address

2585 South State Road 7
Ste 110
Wellington, FL 33414-9323
Phone (561) 795-8655

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
I20041203000858 FL Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Pain Management 2567365323 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4484FLMDClinical Social Worker
OS04484FLMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Pain Care of South Florida LLC CurrentSince Sep 1, 2001 Accepting new patients
Center for Bone & Joint Surgery of the Palm Beaches, P.a. Past Accepting new patients
Anesthesiology Consultants of the Palm Beaches PA Past Accepting new patients
Comprehensive Pain Care of S FL PastSince Apr 12, 2010 Accepting new patients

Locations

458 N State Road 7
Ste 201
Royal Palm Beach, FL 33411
Phone (561) 795-8655

10101 Forest Hill Blvd
West Palm Beach, FL 33414
Phone (561) 766-1301

2585 S State Road 7
Ste 110
West Palm Beach, FL 33414
Phone (561) 795-8655

Organizations & group practices 4

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": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439769600000",
    "number": "1629071261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2585 SOUTH STATE ROAD 7",
            "address_2": "STE 110",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334149323",
            "telephone_number": "561-795-8655",
            "fax_number": "561-795-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2585 SOUTH STATE ROAD 7",
            "address_2": "STE 110",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334149323",
            "telephone_number": "561-795-8655",
            "fax_number": "561-795-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINDIN",
        "first_name": "BRUCE",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2015-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "OS04484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

Verify at the official NPI Registry.