Individual provider Active NPI

Anthony Bared, MD

  • Facial Plastic Surgery Physician
  • South Miami, FL
National Provider Identifier
1881846731
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
ME 106074 Issued in FL
Practice address
6280 Sunset Dr Ste 504
South Miami, FL 33143-4870
Phone
(305) 666-1774
Fax
(305) 666-6708
NPI assigned
Oct 22, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery Physician 207YS0123X ME 106074 FL Primary

Addresses

Primary practice location

6280 Sunset Dr Ste 504
South Miami, FL 33143-4870

Mailing address

6280 Sunset Dr Ste 504
South Miami, FL 33143-4870
Phone (305) 666-1774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 106074FLMDFacial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tenet Florida Physician Services LLC PastSince Aug 23, 2020 Accepting new patients
Tenet Florida Physician Services, LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347235200000",
    "number": "1881846731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6280 SUNSET DR STE 504",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434870",
            "telephone_number": "305-666-1774",
            "fax_number": "305-666-6708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6280 SUNSET DR STE 504",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434870",
            "telephone_number": "305-666-1774",
            "fax_number": "305-666-6708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARED",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-22",
        "last_updated": "2012-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "FL",
            "license": "ME 106074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.