Organization Active NPI

Berens Medical Center, Inc.

  • General Practice Physician
  • Plantation, FL
National Provider Identifier
1801160015
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME0045001 Issued in FL
Legal business name
BERENS MEDICAL CENTER, INC.
Practice address
969 N Nob Hill Rd
Plantation, FL 33324-1078
Phone
(954) 916-1100
Fax
(954) 916-1104
NPI assigned
Mar 6, 2012
Last updated
Mar 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2012

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

Authorized official

Name
Dr. Abram Berens, M.D.NPI 1144314873
Title
President
Phone
(954) 916-1100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X ME0045001 FL
Aerospace Medicine Physician 2083A0100X ME0045001 FL
General Practice Physician 208D00000X ME0045001 FL Primary

Addresses

Primary practice location

969 N Nob Hill Rd
Plantation, FL 33324-1078

Mailing address

969 N Nob Hill Rd
Plantation, FL 33324-1078
Phone (954) 916-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120717000019 FL Part B Supplier - Clinic/Group Practice 6406012640 Receives reassigned benefits from 1 practitioner
Practice locations: Plantation, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0947544Berens Medical Center969 North Nob Hill Road, Plantation, FL 33324Certificate of waiverJun 17, 2028

National Provider Directory

National Provider Directory

Locations

969 N Nob Hill Rd
Plantation, FL 33324
Phone (954) 916-1100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1801160015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 N NOB HILL RD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241078",
            "telephone_number": "954-916-1100",
            "fax_number": "954-916-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 N NOB HILL RD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241078",
            "telephone_number": "954-916-1100",
            "fax_number": "954-916-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERENS MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-06",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "BERENS",
        "authorized_official_first_name": "ABRAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-916-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "FL",
            "license": "ME0045001",
            "primary": false
        },
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "FL",
            "license": "ME0045001",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME0045001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.