Active NPI
Bernard Noble, MD
- Emergency Medicine Physician
- Rockledge, FL
National Provider Identifier
1821090143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME38622
- Practice address
- 110 Longwood Ave
Rockledge, FL 32955-2828 - Phone
- (800) 476-8646
- Fax
- (919) 382-3210
- NPI assigned
- Jun 1, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME38622 | FL | Primary |
Addresses
Primary practice location
110 Longwood Ave
Rockledge, FL 32955-2828
Mailing address
PO Box 30731
Tampa, FL 33630-3731
Phone (800) 476-8646
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 53675 | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Sterling Emergency Services of Florida PA | Emergency Medicine | Current | Accepting new patients |
| Sterling Emergency Services of Florida PA | Emergency Medicine | Current | Accepting new patients |
| Sterling Emergency Services of Florida PA | Emergency Medicine | Current | Accepting new patients |
| Wuesthoff Emergency Physicians PA | Emergency Medicine | Past | Accepting new patients |
| East Florida Emergency Physician Group LLC | Emergency Medicine | Past | Accepting new patients |
Locations
2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277
901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300
1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- West Palm Beach, FL
- NPI 1295720241
-
- Emergency Medicine Physician
- Maysville, KY
- NPI 1356379382
-
- Emergency Medicine Physician
- Boynton Beach, FL
- NPI 1578814570
-
- Emergency Medicine Physician
- Boynton Beach, FL
- NPI 1659366698
-
- Emergency Medicine Physician
- Loxahatchee, FL
- NPI 1134436553
-
- Emergency Medicine Physician
- Rockledge, FL
- NPI 1831192244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208476800000",
"number": "1821090143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30731",
"city": "TAMPA",
"state": "FL",
"postal_code": "336303731",
"telephone_number": "800-476-8646",
"fax_number": "919-382-3210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 LONGWOOD AVE",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329552828",
"telephone_number": "800-476-8646",
"fax_number": "919-382-3210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOBLE",
"first_name": "BERNARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-01",
"last_updated": "2008-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME38622",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "53675",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockledge, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.