Yolanda Bacon-Green MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME0044617 Issued in FL

Legal business name

YOLANDA BACON-GREEN MD PA

Practice address

601 N Flamingo Rd
Suite 306
Pembroke Pines, FL 33028-1015

Phone

(954) 450-0558

Fax

(954) 450-2438

NPI assigned

Feb 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Yolanda Bacon-Green, MDNPI 1144361700

Title

President

Phone

(954) 450-0558

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yolanda Bacon-Green, MD

  • Family Medicine Physician
  • Pembroke Pines, FL
  • NPI 1144361700
  NPD (past) Authorized official

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750422317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268116",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333268116",
            "telephone_number": "954-450-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N FLAMINGO RD",
            "address_2": "SUITE 306",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281015",
            "telephone_number": "954-450-0558",
            "fax_number": "954-450-2438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOLANDA BACON-GREEN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BACON-GREEN",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-450-0558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0044617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naomi Yero, DO
• Israel Yervilla Hernandez I
• Jonathan Alphanso Nicholas Ying, PTA,LMT
• Yira de la Paz MD PA
• Elias Yohai, M.D.
• Kimberly Nicole York, RN
• Leng Leng Young Lin, M.D.
• Alexander John Young, MD
• Ashley Young, SLPA
• Samantha Isabel Young, MD

• Family Medicine Physician in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Family Medicine Physician in Florida

• 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.