MEDICARE: PB MEDICAL LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770369191
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PB MEDICAL LLC

Provider Business Mailing Address
First Line	:	903 SW 27TH TER
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33435-7913
Country	:	US
Telephone Number	:	646-417-2396
Fax Number	:

Provider Business Practice Location Address
First Line	:	9719 LANTANA RD
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-6143
Country	:	US
Telephone Number	:	646-417-2396
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. PAUL BERNSTEIN
Credential	:	DO
Telephone Number	:	646-417-2396

Provider Enumeration Date	:	09/01/2023
Last Update Date	:	03/23/2026

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Directions to “PB MEDICAL LLC ” Practice Location

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