Individual provider Active NPI

Alexandria Geraldine Beranger, M.D.

  • Internal Medicine Physician
  • Pembroke Pines, FL
National Provider Identifier
1871884817
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME120652 Issued in FL
Practice address
8529 Pines Blvd
Pembroke Pines, FL 33024-6611
Phone
(954) 704-3300
Fax
(954) 302-8612
NPI assigned
Apr 25, 2011
Last updated
Oct 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD.208064 LA
Student in an Organized Health Care Education/Training Program 390200000X FL
Internal Medicine Physician 207R00000X ME120652 FL Primary

Addresses

Primary practice location

8529 Pines Blvd
Pembroke Pines, FL 33024-6611

Mailing address

1395 NW 167TH St
Miami Gardens, FL 33169-5710
Phone (305) 831-4736

Other practice location 1

501 Lapalco Blvd
JenCare Neighborhood Medical Center WB, LLC
Gretna, LA 70056
Phone (504) 393-4376

Other practice location 2

3059 Edgewood Ave W
Jacksonville, FL 32209
Phone (904) 647-3180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180511001678 FL Practitioner - Internal Medicine 2365751344 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME120652FLMDInternal Medicine Physician
MD.208064LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chen Neighborhood Medical Centers of South Florida, LLC CurrentSince Aug 1, 2022 Accepting new patients

Locations

390 S State Road 7
Hollywood, FL 33023
Phone (954) 743-5522

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1303689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1871884817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695710",
            "telephone_number": "305-831-4736",
            "fax_number": "058-314-7363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8529 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246611",
            "telephone_number": "954-704-3300",
            "fax_number": "954-302-8612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Lapalco Blvd",
            "address_2": "JenCare Neighborhood Medical Center WB, LLC",
            "address_purpose": "LOCATION",
            "city": "Gretna",
            "state": "LA",
            "postal_code": "70056",
            "country_code": "US",
            "telephone_number": "504-393-4376",
            "fax_number": "504-393-4381",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3059 Edgewood Ave W",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "32209",
            "country_code": "US",
            "telephone_number": "904-647-3180",
            "fax_number": "305-468-6269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERANGER",
        "first_name": "ALEXANDRIA",
        "middle_name": "GERALDINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-25",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD.208064",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME120652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.