Evelyn Berne, MD

Primary specialty

Surgical Oncology PhysicianTaxonomy code 2086X0206X

License

ME116831 Issued in FL

Legal business name

EVELYN BERNE, MD

Practice address

350 NW 84TH Ave
Suite 102
Plantation, FL 33324-1817

Phone

(954) 370-7555

Fax

(954) 370-7554

NPI assigned

May 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Evelyn G. Berne, MD

Title

Breast Surgical Oncology

Phone

(903) 530-8566

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373414400000",
    "number": "1679740765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NW 84TH AVE",
            "address_2": "SUITE 102",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241817",
            "telephone_number": "954-370-7555",
            "fax_number": "954-370-7554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 NW 84TH AVE",
            "address_2": "SUITE 102",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241817",
            "telephone_number": "954-370-7555",
            "fax_number": "954-370-7554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVELYN BERNE, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2013-07-10",
        "status": "A",
        "authorized_official_last_name": "BERNE",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "BREAST SURGICAL ONCOLOGY",
        "authorized_official_telephone_number": "903-530-8566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": "FL",
            "license": "ME116831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; 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.