Individual provider Active NPI

Kevin Ross Bender, M.D.

  • Cardiovascular Disease Physician
  • Tamarac, FL
National Provider Identifier
1922010008
Registry record updated May 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME66657 Issued in FL
Practice address
7707 N University Dr
Suite 106
Tamarac, FL 33321-2950
Phone
(954) 722-4206
Fax
(954) 722-4226
NPI assigned
Aug 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME66657 FL Primary

Addresses

Primary practice location

7707 N University Dr
Suite 106
Tamarac, FL 33321-2950

Mailing address

7707 N University Dr
Suite 106
Tamarac, FL 33321-2950
Phone (954) 722-4206

Other identifiers 2

IdentifierTypeStateIssuer
375775700MedicaidFL
25655VOtherFLMEDICARE PTAN

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
I20100910000892 FL Practitioner - Cardiovascular Disease (Cardiology) 9537264973 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Medical Group PAGroup PAC ID 3173625076, 8 clinicians
University Hospital Ekg Readers IncGroup PAC ID 8921028598, 14 clinicians

Practice addresses (Care Compare)

3000 Coral Hills Dr
Coral Springs, FL 33065-4108
Phone (954) 344-3000

6610 N University Dr
Suite 120
Tamarac, FL 33321-4034
Phone (954) 720-6166

7201 N University Dr
Ekg Readers Panel
Tamarac, FL 33321-2913
Phone (954) 726-1808

7707 N University Dr
Suite 106
Tamarac, FL 33321-2954
Phone (954) 722-4206

Hospital & facility affiliations

  • USA Home Health Services Home health agency, Plantation, FL, CCN 107397
  • Broward Health Coral Springs Hospital, Coral Springs, FL, CCN 100276
  • University Hospital and Medical Center Hospital, Tamarac, FL, CCN 100224
  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168
  • HCA Florida Northwest Hospital Hospital, Margate, FL, CCN 100189
  • Broward Health Imperial Point Hospital, Fort Lauderdale, FL, CCN 100200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME66657FLMDCardiovascular Disease Physician

Practice roles (6 of 8)

OrganizationSpecialtyStatusNew patients
Medical Pulmonary Associates PA Cardiovascular Disease CurrentSince Feb 13, 2024 Accepting new patients
Central Medical Group PA Cardiovascular Disease CurrentSince Mar 15, 2002 Accepting new patients
Ekg Readers of Coral Springs Inc Cardiovascular Disease CurrentSince Feb 1, 2020 Accepting new patients
University Hospital Ekg Readers Inc Cardiovascular Disease CurrentSince Mar 1, 2000 Accepting new patients
West Boca Ekg Readers LLC Cardiovascular Disease Past Accepting new patients
Northwest Hospital Ekg Readers Inc Cardiovascular Disease Past Accepting new patients

Locations

2929 N University Dr
Ste 107
Coral Springs, FL 33065
Phone (954) 340-1992

2801 N State Road 7
Margate, FL 33063
Phone (954) 683-7041

3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000

7707 N University Dr
Ste 106
Tamarac, FL 33321
Phone (954) 720-7807

6610 N University Dr
Ste 120
Tamarac, FL 33321
Phone (954) 340-1992

7201 N University Dr
Tamarac, FL 33321
Phone (954) 721-2200

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 6

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400198400000",
    "number": "1922010008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7707 N UNIVERSITY DR",
            "address_2": "SUITE 106",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212950",
            "telephone_number": "954-722-4206",
            "fax_number": "954-722-4226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7707 N UNIVERSITY DR",
            "address_2": "SUITE 106",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212950",
            "telephone_number": "954-722-4206",
            "fax_number": "954-722-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDER",
        "first_name": "KEVIN",
        "middle_name": "ROSS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2014-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME66657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375775700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "25655V",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

Verify at the official NPI Registry.