Vivian Bilasano MD LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

ME 77619 Issued in FL

Legal business name

VIVIAN BILASANO MD LLC

Doing business as

BCK PrimeCARE
BCK Wellness

Practice address

17913 NW 7TH St Ste 101
Pembroke Pines, FL 33029-2811

Phone

(954) 320-7999

Fax

(954) 320-7601

NPI assigned

Jun 3, 2015

Last updated

Mar 13, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vivian BilasanoNPI 1821002825

Title

MD

Phone

(305) 502-5272

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 2

• BCK PrimeCARE Doing business as
• BCK Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vivian Bilasano, M.D.

  • Internal Medicine Physician
  • Pembroke Pines, FL
  • NPI 1821002825
  Medicare reassignment Care Compare group NPD Authorized official
• Jorge Konopka, M.D.

  • Family Medicine Physician
  • Pembroke Pines, FL
  • NPI 1316140262
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773360000000",
    "number": "1639559750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17913 NW 7TH ST STE 101",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330292811",
            "telephone_number": "954-320-7999",
            "fax_number": "954-320-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17913 NW 7TH ST STE 101",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330292811",
            "telephone_number": "954-320-7999",
            "fax_number": "954-320-7601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1951 SW 172nd Ave",
            "address_2": "SUITE312",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "330295593",
            "country_code": "US",
            "telephone_number": "954-320-7999",
            "fax_number": "954-320-7601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VIVIAN BILASANO MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-03",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A",
        "authorized_official_last_name": "BILASANO",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "305-502-5272"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME 77619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257505100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1821002825",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1316140262",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001237900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BCK PrimeCARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BCK PrimeCARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BCK Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexandra Matina Vitiello
• Vivagen Health
• Vivagen Health Urgent Care
• Maryory Y Vivenes
• Jamie Vives, RCSWI
• Vivo Therapy LLC
• VM Counseling Services Inc.
• VMFL Medical Centers LLC (VivaMas Medical Center - Pembroke Pines)
• VMFL Medical Centers LLC (VivaMas Medical Center Pembroke Pines)
• Ryan Voccia, PA-C

• Primary Care Clinic/Center in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.