Organization Active NPI

Bariatric Surgery of Ver O Beach PA

  • Surgery Physician
  • Vero Beach, FL
National Provider Identifier
1700913282
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
BARIATRIC SURGERY OF VER O BEACH PA
Practice address
3755 7TH Ter
Suite 204
Vero Beach, FL 32960-6528
Phone
(772) 562-9899
Fax
(772) 562-6237
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Theodore G Perry, MD
Title
President
Phone
(772) 562-9899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

3755 7TH Ter
Suite 204
Vero Beach, FL 32960-6528

Mailing address

3755 7TH Ter
Suite 204
Vero Beach, FL 32960-6528
Phone (772) 562-9899

National Provider Directory

National Provider Directory

Locations

3755 7th Ter
Ste 204
Vero Beach, FL 32960
Phone (772) 562-9899

Practitioners & affiliated clinicians

Practitioners 1

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": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700913282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3755 7TH TER",
            "address_2": "SUITE 204",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606528",
            "telephone_number": "772-562-9899",
            "fax_number": "772-562-6237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 7TH TER",
            "address_2": "SUITE 204",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606528",
            "telephone_number": "772-562-9899",
            "fax_number": "772-562-6237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARIATRIC SURGERY OF VER O BEACH PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-562-9899",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.