Organization Active NPI

Bruce H Berman, PC

Doing business as Palm Beach Holistic Center

  • Medical Specialty Clinic/Center
  • Jupiter, FL
National Provider Identifier
1811915663
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
ME 0057993 Issued in FL
Legal business name
BRUCE H BERMAN, PC
Doing business as
Palm Beach Holistic Center
Practice address
675 W Indiantown Rd
Suitw 203
Jupiter, FL 33458-7548
Phone
(561) 747-4767
Fax
(561) 575-7545
NPI assigned
Jul 18, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Bruce H. Berman, MD
Title
President
Phone
(561) 747-4767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X ME 0057993 FL Primary

Addresses

Primary practice location

675 W Indiantown Rd
Suitw 203
Jupiter, FL 33458-7548

Mailing address

675 W Indiantown Rd
Suitw 203
Jupiter, FL 33458-7548
Phone (561) 747-4767

Other names 1

  • Palm Beach Holistic Center Doing business as

National Provider Directory

National Provider Directory

Locations

675 W Indiantown Rd
Ste 203
Jupiter, FL 33458
Phone (561) 744-7373

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811915663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 W INDIANTOWN RD",
            "address_2": "SUITW 203",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587548",
            "telephone_number": "561-747-4767",
            "fax_number": "561-575-7545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 W INDIANTOWN RD",
            "address_2": "SUITW 203",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587548",
            "telephone_number": "561-747-4767",
            "fax_number": "561-575-7545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE H BERMAN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERMAN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-747-4767",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME 0057993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palm Beach Holistic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.