MEDICARE: DR. BRIAN VICTOR BENDER MD

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	2084P0800X	Psychiatry Physician	ME163716	FL

General Provider Information

NPI Number	:	1982223301
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRIAN VICTOR BENDER MD

Provider Business Mailing Address
First Line	:	1500 BAY RD APT S1236
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33139-3228
Country	:	US
Telephone Number	:	786-774-9281
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 BAY RD
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33139-3252
Country	:	US
Telephone Number	:	786-774-9281
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2020
Last Update Date	:	08/12/2024

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