Organization Active NPI

B. Ronald Lopez, M.D.P.a.

  • Child & Adolescent Psychiatry Physician
  • Palm Harbor, FL
National Provider Identifier
1861760928
Registry record updated Dec 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
ME0042956 Issued in FL
Legal business name
B. RONALD LOPEZ, M.D.P.A.
Practice address
2843 Alt 19
Palm Harbor, FL 34683-1926
Phone
(727) 772-0038
Fax
(727) 787-2384
NPI assigned
Dec 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2011

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

Authorized official

Name
Dr. Bernard Ronald Lopez, MDNPI 1568458891
Title
MD
Phone
(727) 772-0038

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0804X ME0042956 FL Primary

Addresses

Primary practice location

2843 Alt 19
Palm Harbor, FL 34683-1926

Mailing address

3843 Alt 19
Palm Harbor, FL 34683
Phone (727) 772-0038

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120214000195 FL Part B Supplier - Clinic/Group Practice 5193982569 Receives reassigned benefits from 4 practitioners
Practice locations: Palm Harbor, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323907200000",
    "number": "1861760928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3843 ALT 19",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "34683",
            "telephone_number": "727-772-0038",
            "fax_number": "727-787-2384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2843 ALT 19",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346831926",
            "telephone_number": "727-772-0038",
            "fax_number": "727-787-2384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B. RONALD LOPEZ, M.D.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-05",
        "last_updated": "2011-12-15",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "RONALD",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "727-772-0038",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME0042956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; 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.