Bertha Baum, D.O.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

OS11642 Issued in FL

Practice address

1250 E Hallandale Beach Blvd
Suite 800
Hallandale Beach, FL 33009-4634

Phone

(954) 456-5050

Fax

(954) 456-5095

NPI assigned

Apr 1, 2012

Last updated

Jan 26, 2016By the provider in NPPES

Sex

Female

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology Group of Florida, P.a.Group PAC ID 1153367107, 54 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dermatology Group of Florida, P.a.

  • Dermatology Physician
  • South Miami, FL
  • NPI 1497806459
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1333238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453766400000",
    "number": "1801162094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3972 194TH LN",
            "city": "GOLDEN BEACH",
            "state": "FL",
            "postal_code": "331602281",
            "telephone_number": "786-326-9593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E HALLANDALE BEACH BLVD",
            "address_2": "SUITE 800",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094634",
            "telephone_number": "954-456-5050",
            "fax_number": "954-456-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUM",
        "first_name": "BERTHA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-01",
        "last_updated": "2016-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS11642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roy Barski, D.O.
• Valeriia Baryshnikova
• Sollie Basher, RD, LDN
• Elarya Batkilin, SLP
• Gerardo Baudet, CSA
• Brithany Bazin
• Bcot Assessment & Services Inc
• Beach Club Adult Center, LLC
• Beacon Dental LLC
• Kahina Beasley, PSYD

• Dermatology Physician in Hallandale Beach, FL
• Providers in Hallandale Beach, FL by specialty
• Dermatology 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.