Organization Active NPI

Meberg & Cohen LC

  • Podiatrist
  • Melbourne, FL
National Provider Identifier
1972612927
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
MEBERG & COHEN LC
Practice address
7730 N Wickham Rd
Suite 103
Melbourne, FL 32940
Phone
(321) 253-3595
Fax
(321) 253-3596
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Authorized official

Name
Dr. Randi Meberg, DPMNPI 1710096805
Title
Owner Officer
Phone
(321) 253-3595

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

7730 N Wickham Rd
Suite 103
Melbourne, FL 32940

Mailing address

7730 N Wickham Rd
Suite 103
Melbourne, FL 32940
Phone (321) 253-3595

Other identifiers 1

IdentifierTypeStateIssuer
74947OtherFLBCBS ID

Other names 1

  • Suntree-Viera Foot & Ankle Center Doing business as

National Provider Directory

National Provider Directory

Locations

7730 N Wickham Rd
Ste 103
Melbourne, FL 32940
Phone (321) 253-3595

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": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1972612927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7730 N WICKHAM RD",
            "address_2": "SUITE 103",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32940",
            "telephone_number": "321-253-3595",
            "fax_number": "321-253-3596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7730 N WICKHAM RD",
            "address_2": "SUITE 103",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32940",
            "telephone_number": "321-253-3595",
            "fax_number": "321-253-3596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEBERG & COHEN LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "MEBERG",
        "authorized_official_first_name": "RANDI",
        "authorized_official_title_or_position": "OWNER OFFICER",
        "authorized_official_telephone_number": "321-253-3595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID",
            "identifier": "74947",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suntree-Viera Foot & Ankle Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.

Verify at the official NPI Registry.