Individual provider Active NPI

Brian Victor Bender, MD

  • Psychiatry Physician
  • Miami Beach, FL
National Provider Identifier
1982223301
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME163716 Issued in FL
Practice address
1500 Bay Rd
Miami Beach, FL 33139-3252
Phone
(786) 774-9281
NPI assigned
Apr 15, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X ME163716 FL Primary

Addresses

Primary practice location

1500 Bay Rd
Miami Beach, FL 33139-3252

Mailing address

1500 Bay Rd Apt S1236
Miami Beach, FL 33139-3228
Phone (786) 774-9281

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20260310004200 CA Practitioner - Psychiatry 0345723169 Reassigns benefits to 1 organization
I20260615001950 NY Practitioner - Psychiatry 0345723169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

100 Crescent CT
Suite 700
Dallas, TX 75201-1841

12301 Wilshire Blvd
Suite 512
Los Angeles, CA 90025-1053

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME163716FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mellow Medical Inc a Professional Corporation Single Specialty CurrentSince Feb 23, 2026 Accepting new patients

Locations

12301 Wilshire Blvd
Ste 512
Los Angeles, CA 90025
Phone (833) 427-3566

4685 MacArthur Ct
Ste 340
Newport Beach, CA 92660
Phone (949) 424-4544

5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182

Interoperability endpoints

  • Direct secure messaging: brian.bender.1@9357.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/9357/brand/1/csg/1/fhir/r4
  • Direct secure messaging: brian.bender.2@9357.direct.athenahealth.com
  • Direct secure messaging: brian.bender.3@9357.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1982223301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 BAY RD APT S1236",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331393228",
            "telephone_number": "786-774-9281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 BAY RD",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331393252",
            "telephone_number": "786-774-9281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDER",
        "first_name": "BRIAN",
        "middle_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-15",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME163716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.