Active NPI
Inaki Greg Bent, D.O.
- Internal Medicine Physician
- Miami, FL
National Provider Identifier
1881919033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- OS-12145
- Practice address
- 1190 NW 95TH St
Suite 406
Miami, FL 33150-2063 - Phone
- (305) 836-6221
- Fax
- (305) 836-4805
- NPI assigned
- Mar 31, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | OS-12145 | FL | Primary |
Addresses
Primary practice location
1190 NW 95TH St
Suite 406
Miami, FL 33150-2063
Mailing address
1190 NW 95TH St
Suite 406
Miami, FL 33150-2063
Phone (305) 836-6221
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS-12145 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimal Health Medical Center Inc | Current | Accepting new patients |
Locations
17235 NW 27th Ave
Miami Gardens, FL 33056
Phone (305) 705-4024
Organizations & group practices 1
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.
-
- General Practice Physician
- Miami Gardens, FL
- NPI 1194296954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466380800000",
"number": "1881919033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1190 NW 95TH ST",
"address_2": "SUITE 406",
"city": "MIAMI",
"state": "FL",
"postal_code": "331502063",
"telephone_number": "305-836-6221",
"fax_number": "305-836-4805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1190 NW 95TH ST",
"address_2": "SUITE 406",
"city": "MIAMI",
"state": "FL",
"postal_code": "331502063",
"telephone_number": "305-836-6221",
"fax_number": "305-836-4805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENT",
"first_name": "INAKI",
"middle_name": "GREG",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-31",
"last_updated": "2016-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "OS-12145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; 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.