Active NPI
Berens Medical Center, Inc.
- General Practice Physician
- Plantation, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME0045001
- 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, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Abram Berens, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0947544 | Berens Medical Center | Certificate of waiver | Jun 17, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.