Individual provider Active NPI

Nathan Bruce Hirsch, M.D.

  • Obstetrics & Gynecology Physician
  • South Miami, FL
National Provider Identifier
1720196454
Registry record updated Mar 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME18044 Issued in FL
Practice address
7300 SW 62ND PL
3 FL
South Miami, FL 33143-4806
Phone
(305) 665-1133
Fax
(305) 666-0258
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 54-2129332 FL
Obstetrics & Gynecology Physician 207V00000X ME18044 FL Primary

Addresses

Primary practice location

7300 SW 62ND PL
3 FL
South Miami, FL 33143-4806

Mailing address

7300 SW 62ND PL FL 3
South Miami, FL 33143-4800
Phone (305) 665-1133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040629000333 FL Practitioner - Obstetrics/Gynecology 1658357751 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18044FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalmd Group Holding LLC Obstetrics & Gynecology CurrentSince Feb 1, 2004 Accepting new patients

Locations

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

7300 SW 62nd Pl
Fl 3
South Miami, FL 33143
Phone (305) 665-1133

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584316800000",
    "number": "1720196454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 SW 62ND PL FL 3",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434800",
            "telephone_number": "305-665-1133",
            "fax_number": "305-666-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 SW 62ND PL",
            "address_2": "3 FL",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434806",
            "telephone_number": "305-665-1133",
            "fax_number": "305-666-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSCH",
        "first_name": "NATHAN",
        "middle_name": "BRUCE",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "54-2129332",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME18044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.