Organization Active NPI

BVL Pediatrics LLC

  • Clinic/Center
  • Kissimmee, FL
National Provider Identifier
1902069826
Registry record updated Dec 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BVL PEDIATRICS LLC
Doing business as
BVL Pediatrics
Practice address
2535 Boggy Creek Rd
Kissimmee, FL 34744-3806
Phone
(407) 344-0021
Fax
(407) 344-0043
NPI assigned
Jul 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2013

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

Authorized official

Name
Akbar A Qureshi, MDNPI 1235138850
Title
Owner
Phone
(407) 344-0021

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2535 Boggy Creek Rd
Kissimmee, FL 34744-3806

Mailing address

2535 Boggy Creek Rd
Kissimmee, FL 34744-3806
Phone (407) 344-0021

Other identifiers 1

IdentifierTypeStateIssuer
3791513002MedicaidFL

Other names 1

  • BVL Pediatrics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Best Pediatric Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386028800000",
    "number": "1902069826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 BOGGY CREEK RD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347443806",
            "telephone_number": "407-344-0021",
            "fax_number": "407-344-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 BOGGY CREEK RD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347443806",
            "telephone_number": "407-344-0021",
            "fax_number": "407-344-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BVL PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-10",
        "last_updated": "2013-12-03",
        "status": "A",
        "authorized_official_last_name": "QURESHI",
        "authorized_official_first_name": "AKBAR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-344-0021",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3791513002",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BVL Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; 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.