Active NPI
Brian Victor Bender, MD
- Psychiatry Physician
- Miami Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME163716
- 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
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 |
|---|---|---|---|---|
| Psychiatry Physician | 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, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| ME163716 | FL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mellow Medical Inc a Professional Corporation | Single Specialty | Current | 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
- brian.bender.1@9357.direct.athenahealth.com
- https://api.platform.athenahealth.com/9357/brand/1/csg/1/fhir/r4
- brian.bender.2@9357.direct.athenahealth.com
- 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.
-
- Psychiatry Physician
- West Hollywood, CA
- NPI 1407275886
Single Specialty
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.