Active NPI
Sara J Bernstein MD LC
- Obstetrics & Gynecology Physician
- Wellington, FL
National Provider Identifier
1851366934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME 79627
- Legal business name
- SARA J BERNSTEIN MD LC
- Practice address
- 10131 W Forest Hill Blvd
Suite 130
Wellington, FL 33414-6156 - Phone
- (561) 784-1933
- Fax
- (561) 784-5109
- NPI assigned
- Feb 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sara J Bernstein, M.D.
- Title
- Managing Member
- Phone
- (561) 784-1933
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ME 79627 | FL | Primary |
Addresses
Primary practice location
10131 W Forest Hill Blvd
Suite 130
Wellington, FL 33414-6156
Mailing address
11924 W Forest Hill Blvd
Suite 22-313
Wellington, FL 33414-6256
Phone (561) 784-1933
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20-1124411 | Other | FL | DIMENSION HEALTH |
| 20-1124411 | Other | FL | GREAT WEST |
| 20-1124411 | Other | FL | PRIVATE HEALTHCARE SYSTEM |
| 264231000 | Medicaid | FL | |
| 298473 | Other | FL | AVMED |
| 7531723 | Other | FL | CIGNA |
| 51338 | Other | FL | BLUE CROSS / BLUE SHIELD |
| 45664 | Other | FL | NEIGHBORHOOD HEALTH |
| 20-1124411 | Other | FL | UNITED |
| 7872461 | Other | FL | AETNA |
| 20-1124411 | Other | FL | BEECH STREET |
| 20-1124411 | Other | FL | ONE-SOURCE |
Other names 1
- Sara J Bernstein MD PA
National Provider Directory
National Provider DirectoryLocations
11924 Forest Hill Blvd
Ste 22313
Wellington, FL 33414
10111 Forest Hill Blvd
Rm 261
Wellington, FL 33414
Phone (561) 784-1933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1247616000000",
"number": "1851366934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11924 W FOREST HILL BLVD",
"address_2": "SUITE 22-313",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334146256",
"telephone_number": "561-784-1933",
"fax_number": "561-784-5109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10131 W FOREST HILL BLVD",
"address_2": "SUITE 130",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334146156",
"telephone_number": "561-784-1933",
"fax_number": "561-784-5109"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SARA J BERNSTEIN MD LC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-21",
"last_updated": "2009-07-15",
"status": "A",
"authorized_official_last_name": "BERNSTEIN",
"authorized_official_first_name": "SARA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "561-784-1933",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME 79627",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DIMENSION HEALTH",
"identifier": "20-1124411",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT WEST",
"identifier": "20-1124411",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE HEALTHCARE SYSTEM",
"identifier": "20-1124411",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "264231000",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "298473",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "7531723",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS / BLUE SHIELD",
"identifier": "51338",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH",
"identifier": "45664",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED",
"identifier": "20-1124411",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7872461",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEECH STREET",
"identifier": "20-1124411",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ONE-SOURCE",
"identifier": "20-1124411",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sara J Bernstein MD PA",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Wellington, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.