Louis Randall Bucalo, M.D.

Primary specialty

Research Study SpecialistTaxonomy code 1744R1102X

License

77004 Issued in MA

Practice address

1430 S Ocean Blvd
Apt. 7B
Pompano Beach, FL 33062-2701

Phone

(305) 496-7816

NPI assigned

Oct 2, 2009

Last updated

Oct 2, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1254441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254441600000",
    "number": "1750616181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 S OCEAN BLVD",
            "address_2": "APT. 7B",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330622701",
            "telephone_number": "305-496-7816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 S OCEAN BLVD",
            "address_2": "APT. 7B",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330622701",
            "telephone_number": "305-496-7816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCALO",
        "first_name": "LOUIS",
        "middle_name": "RANDALL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-02",
        "last_updated": "2009-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744R1102X",
            "taxonomy_group": "",
            "desc": "Specialist, Research Study",
            "state": "MA",
            "license": "77004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John A Bruns
• Craig Brutus
• Gena Brutus
• Sylvia Victoria Brutus
• BTC Telehealth LLC
• Daniel Alexander Buchin, PA-C
• David Robert Buchthal, D.C.
• Kaywana O.T. Buckley, BS
• Charmaine Bullard
• Carrie Leigh Bullock

• Research Study Specialist in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Research Study Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2009; 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.