DR. RANDI MEBERG (NPI# 1710096805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710096805 |
| Entity Type | Individual |
| Full Name | DR. RANDI MEBERG |
| Credential | DPM |
| Practice Address |
7730 N Wickham Rd Suite 103 Melbourne FL 32940 |
| Practice Telephone | 3212533595 |
| Practice Fax Number | 3212533596 |
| Mailing Telephone | 3212533595 |
| Mailing Fax Number | 3212533596 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2015-11-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | PO3019 | FL | Podiatric Medicine & Surgery Service Providers |
| Street Address |
7730 N WICKHAM RD SUITE 103 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710096862 | Daniel Albert Cohen | Podiatrist | 7730 N Wickham Rd, Suite 103, Melbourne, FL 32940 | 2006-08-30 |
| 1053545673 | Medical Associates of Brevard LLC | Clinic/Center | 7730 N Wickham Rd, Suite 103, Melbourne, FL 32940-8296 | 2009-05-11 |
| 1972612927 | Meberg & Cohen Lc | Podiatrist | 7730 N Wickham Rd, Suite 103, Melbourne, FL 32940 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700403649 | True Motion Physical Therapy and Wellness | Clinic/Center | 3536 Peninsula Circle, Mlebourne, FL 32940 | 2020-06-26 |
| 1568089431 | Live Gracefully Physio and Wellness, Pllc | Clinic/Center | 6470 Shadow Creek Trail, Apt 5204, Melbourne, FL 32940 | 2020-06-26 |
| 1295360592 | Hiteshi Patel | Pharmacist | 3134 Hummingbird Way, Melbourne, FL 32940 | 2020-03-06 |
| 1972133122 | Curtis Lynn Curbo | Social Worker | 3830 Fringetree Lane, Melbourne, FL 32940 | 2020-01-16 |
| 1861038283 | Medfast Urgent Care Centers, LLC | Clinic/Center | 5500 Stadium Parkway, Melbourne, FL 32940 | 2019-11-20 |
| 1134601594 | Caroline Grace Bennett | Behavior Technician | 5500 Murrell Rd Suite 100, Melbourne, FL 32940 | 2018-09-02 |
| 1730682642 | Centennial Medical Group | Family Medicine | 1341 Bedford Drive, Melbourne, FL 32940 | 2018-03-16 |
| 1356849251 | Executive Non-emergency Transportation, Inc. | Non-emergency Medical Transport (VAN) | 3155-02 Suntree Blvd, Melbourne, FL 32940 | 2018-01-25 |
| 1679081160 | Brevard Oaks Center, LLC | Skilled Nursing Facility | 2355 Vidina Drive, Viera, FL 32940 | 2018-01-18 |
| 1275045817 | Comfortable Care Dental Health Professionals. P.a. | Dentist | 6340 N Wickham Rd Ste 101, Melbourne, FL 32940 | 2017-11-03 |
| Find all providers in zip 32940 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114465515 | Foot and Ankle Associates of Brevard LLC | Podiatrist | 4020 Fair Point Ln, Melbourne, FL 32934-8436 | 2017-02-06 |
| 1609201227 | Patricia A Russo | Podiatrist | 2958 Ingram Ave, Melbourne, IA 50162-9559 | 2013-09-13 |
| 1710096862 | Daniel Albert Cohen | Podiatrist | 7730 N Wickham Rd, Suite 103, Melbourne, FL 32940 | 2006-08-30 |
| 1619986429 | Brian Stanley Wieszbicki | Podiatrist | 1375 Cypress Trace Dr, Melbourne, FL 32940-1623 | 2006-08-08 |
| 1437181666 | Stanley Ira Gabe | Podiatrist | 129 W Hibiscus Ave, Suite C, Melbourne, FL 32901 | 2006-07-07 |
| 1669455291 | Brian Joseph Mallette | Podiatrist | 200 S Harbor City Blvd, Suite 102, Melbourne, FL 32901-1384 | 2005-11-29 |
| 1174506877 | Briant G Moyles Dpm Pa | Podiatrist | 211 E New Haven Ave, Melbourne, FL 32901-4503 | 2005-11-28 |
| 1306273545 | Iowa Podiatry Care, Inc. | Podiatrist | 2958 Ingram Ave, Melbourne, IA 50162-9559 | 2013-10-02 |
| 1558701243 | Jessica Ann Ortega Wilson | Podiatrist | 1515 Airport Blvd, Melbourne, FL 32901 | 2013-06-27 |
| 1184064834 | Thomas Charles Wilson | Podiatrist | 1515 Airport Blvd, Melbourne, FL 32901 | 2013-06-26 |
| Find all providers in MELBOURNE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.