Organization Active NPI

David Milbauer MD PA

  • Internal Medicine Physician
  • Lake Worth, FL
National Provider Identifier
1649412958
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0066699 Issued in FL
Legal business name
DAVID MILBAUER MD PA
Practice address
6894 Lake Worth Rd Ste 104
Lake Worth, FL 33467
Phone
(561) 642-2800
Fax
(561) 963-1955
NPI assigned
Apr 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

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

Authorized official

Name
Mrs. Patti Brotman, RN
Title
Office Manager
Phone
(561) 642-2800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME0066699 FL Primary

Addresses

Primary practice location

6894 Lake Worth Rd Ste 104
Lake Worth, FL 33467

Mailing address

6894 Lake Worth Rd Ste 104
Lake Worth, FL 33467-2964
Phone (561) 642-2800

Other identifiers 1

IdentifierTypeStateIssuer
376101100MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531094400000",
    "number": "1649412958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6894 LAKE WORTH RD STE 104",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672964",
            "telephone_number": "561-642-2800",
            "fax_number": "561-963-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6894 LAKE WORTH RD STE 104",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "33467",
            "telephone_number": "561-642-2800",
            "fax_number": "561-963-1955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID MILBAUER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2018-07-09",
        "status": "A",
        "authorized_official_last_name": "BROTMAN",
        "authorized_official_first_name": "PATTI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "561-642-2800",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0066699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376101100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.