Shobha Bhide

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

Practice address

1485 N Atlantic Ave
Suite 111
Cocoa Beach, FL 32931-3244

Phone

(321) 453-1644

Fax

(321) 784-8212

NPI assigned

Nov 4, 2006

Last updated

Sep 24, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• SS & PM Inc

  dba Shobha's Post-Mastectomy Boutique

  • Prosthetic/Orthotic Supplier
  • Merritt Island, FL
  • NPI 1194804567
  NPD (past) Authorized official

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

{
    "created_epoch": "1162598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348444800000",
    "number": "1669551032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 PORPOISE ST",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329525644",
            "telephone_number": "321-453-1644",
            "fax_number": "321-784-8212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 N ATLANTIC AVE",
            "address_2": "SUITE 111",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329313244",
            "telephone_number": "321-453-1644",
            "fax_number": "321-784-8212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHIDE",
        "first_name": "SHOBHA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-04",
        "last_updated": "2012-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ABC IN ORTHOTICS & PROSTH",
            "identifier": "0003111691",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gabriel Basraj, PHARMD
• Noelle Jean Bauer
• Beach Chiropractic, Inc.
• Stephanie Lynn Benedict
• Diane K Bergau, M.D.
• Denise Bilder, LCSW
• Noah K Birch, FNP-C
• Brian Robert Boggs, MD
• Hassan Borghei, DO
• Aniela Jan Borowski, M.D.

• Prosthetics Case Management in Cocoa Beach, FL
• Providers in Cocoa Beach, FL by specialty
• Prosthetics Case Management in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; 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.