Organization Active NPI

Beacon Outpatient Physicians

  • Emergency Medical Services (Emergency Medicine) Physician
  • Doral, FL
National Provider Identifier
1720031867
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
Legal business name
BEACON OUTPATIENT PHYSICIANS
Practice address
8301 NW 12TH St
Doral, FL 33126-1838
Phone
(305) 227-3884
Fax
(305) 554-4833
NPI assigned
May 18, 2006
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
David R Nateman, MD
Title
Administrator
Phone
(786) 596-7992

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207PE0004X Primary

Addresses

Primary practice location

8301 NW 12TH St
Doral, FL 33126-1838

Mailing address

8660 W Flagler St
Suite 200
Miami, FL 33144-2036
Phone (305) 227-5176

National Provider Directory

National Provider Directory

Locations

8301 NW 12th St
Doral, FL 33126
Phone (305) 227-3884

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720031867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8660 W FLAGLER ST",
            "address_2": "SUITE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442036",
            "telephone_number": "305-227-5176",
            "fax_number": "305-554-4828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 NW 12TH ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261838",
            "telephone_number": "305-227-3884",
            "fax_number": "305-554-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON OUTPATIENT PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NATEMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "786-596-7992",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, 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.