NPIMap

Organization Active NPI

Jack Bandel M.D., P.a.

  • Primary Care Clinic/Center
  • Miami, FL
National Provider Identifier
1982899472
Registry record updated Sep 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME68133 Issued in FL
Legal business name
JACK BANDEL M.D., P.A.
Practice address
2627 NE 203Rd St
Suite 215
Miami, FL 33180-1900
Phone
(305) 933-3035
Fax
(305) 933-3035
NPI assigned
Sep 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2007

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

Authorized official

Name
Dr. Jack William Bandel, M.D.NPI 1104017888
Title
President
Phone
(305) 933-3035

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
Primary Care Clinic/Center 261QP2300X ME68133 FL Primary

Addresses

Primary practice location

2627 NE 203Rd St
Suite 215
Miami, FL 33180-1900

Mailing address

2627 NE 203Rd St
Suite 215
Miami, FL 33180-1900
Phone (305) 933-3035

National Provider Directory

National Provider Directory

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": "1189209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189209600000",
    "number": "1982899472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2627 NE 203RD ST",
            "address_2": "SUITE 215",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331801900",
            "telephone_number": "305-933-3035",
            "fax_number": "305-933-3035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 NE 203RD ST",
            "address_2": "SUITE 215",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331801900",
            "telephone_number": "305-933-3035",
            "fax_number": "305-933-3035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK BANDEL M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-08",
        "last_updated": "2007-09-08",
        "status": "A",
        "authorized_official_last_name": "BANDEL",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-933-3035",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME68133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

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

Verify at the official NPI Registry.