Active NPI
Nolan Edgar Lerner, M.D.
- Nephrology Physician
- Davie, FL
National Provider Identifier
1952523045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- ME29039
- Practice address
- 11300 SW 22ND CT
Davie, FL 33325-4848 - Phone
- (954) 557-1608
- Fax
- (954) 475-1277
- NPI assigned
- May 2, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ME29039 | FL | Primary |
Addresses
Primary practice location
11300 SW 22ND CT
Davie, FL 33325-4848
Mailing address
11300 SW 22ND CT
Davie, FL 33325-4848
Phone (954) 557-1608
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME29039 | FL | MD | Nephrology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952523045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11300 SW 22ND CT",
"city": "DAVIE",
"state": "FL",
"postal_code": "333254848",
"telephone_number": "954-557-1608",
"fax_number": "954-475-1277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11300 SW 22ND CT",
"city": "DAVIE",
"state": "FL",
"postal_code": "333254848",
"telephone_number": "954-557-1608",
"fax_number": "954-475-1277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LERNER",
"first_name": "NOLAN",
"middle_name": "EDGAR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "FL",
"license": "ME29039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.