Healthcare Provider Details

I. General information

NPI: 1609788660
Provider Name (Legal Business Name): BERNARD A SHUSTER M.D., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4001 HOLLYWOOD BLVD STE B
HOLLYWOOD FL
33021-6796
US

IV. Provider business mailing address

4001 HOLLYWOOD BLVD STE B
HOLLYWOOD FL
33021-6796
US

V. Phone/Fax

Practice location:
  • Phone: 954-961-5500
  • Fax: 954-961-7171
Mailing address:
  • Phone: 954-961-5500
  • Fax: 954-961-7171

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: BERNARD ALAN SHUSTER
Title or Position: MEDICAL DOCTOR/OWNER
Credential: MD
Phone: 954-961-5500