BDG Medical Service LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME 66087 Issued in FL

Legal business name

BDG MEDICAL SERVICE LLC

Practice address

7611 SW 78TH CT
Miami, FL 33143-4029

Phone

(305) 439-1287

NPI assigned

Jan 26, 2016

Organization subpart

No

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

Authorized official

Name

Bahjat Ghanem, MD

Title

President

Phone

(305) 439-1287

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1730546458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7611 SW 78TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331434029",
            "telephone_number": "305-439-1287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7611 SW 78TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331434029",
            "telephone_number": "305-439-1287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BDG MEDICAL SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-26",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "GHANEM",
        "authorized_official_first_name": "BAHJAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-439-1287",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME 66087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373630000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Miami, FL
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• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; 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.