The Diabetes and Endocrine Center of Pensacola LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

98582 Issued in FL

Legal business name

THE DIABETES AND ENDOCRINE CENTER OF PENSACOLA LLC

Practice address

6160 N Davis Hwy
Suite 10a
Pensacola, FL 32504-6994

Phone

(850) 208-3848

Fax

(850) 208-3848

NPI assigned

Jan 19, 2016

Last updated

Nov 2, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Vishnu Narayan Behari, M.D.NPI 1447202874

Title

Chief Executive Officer

Phone

(850) 208-3848

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

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.

• Vishnu N. Behari, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Pensacola, FL
  • NPI 1447202874
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478044800000",
    "number": "1811354129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 N DAVIS HWY",
            "address_2": "SUITE 10A",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046994",
            "telephone_number": "850-208-3848",
            "fax_number": "850-476-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 N DAVIS HWY",
            "address_2": "SUITE 10A",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046994",
            "telephone_number": "850-208-3848",
            "fax_number": "850-208-3848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DIABETES AND ENDOCRINE CENTER OF PENSACOLA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-19",
        "last_updated": "2016-11-02",
        "status": "A",
        "authorized_official_last_name": "BEHARI",
        "authorized_official_first_name": "VISHNU",
        "authorized_official_middle_name": "NARAYAN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "850-208-3848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "98582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279086600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.