Peter Rome Bendetson, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME38840 Issued in FL

Practice address

1180 Beacon Street, Suite 3a
Brookline, MA 02446-3806

Phone

(617) 566-3123

Fax

(617) 739-1231

NPI assigned

Mar 22, 2006

Last updated

Jan 15, 2013By the provider in NPPES

Sex

Male

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 MA, FL2 enrollments

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 2

Specialty

Dermatology

Education

Tufts University School of Medicine, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Peter R. Bendetson, M.D.

  • Medical Specialty Clinic/Center
  • Loxahatchee, FL
  • NPI 1619477288
  NPD
• Adult and Pediatric Dermatology Practitioners P a

  • Specialist
  • Boynton Beach, FL
  • NPI 1487613907
  NPD (past)

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1811956329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 BEACON ST STE 3A",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024463806",
            "telephone_number": "617-566-3123",
            "fax_number": "617-739-1231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 BEACON STREET, SUITE 3A",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024463806",
            "telephone_number": "617-566-3123",
            "fax_number": "617-739-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDETSON",
        "first_name": "PETER",
        "middle_name": "ROME",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME38840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger V Belizaire, MD, PHD
• Margaret Bell-Walker, OTR/L
• Ruth Elizabeth Bell, ED.M; LICSW
• Irene Belozersky, LICSW
• Peter S Belson, LICSW
• Bending Birch Counseling, PLLC
• Margaret Ann Beneville, MS
• Tatiana Bennett
• Kris Berg
• Ernest Walter Bergel, MD

• Specialist in Brookline, MA
• Providers in Brookline, MA by specialty
• Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.