Provider Demographics
NPI:1124125935
Name:ALPERT, BARNET IRWIN (DO)
Entity type:Individual
Prefix:DR
First Name:BARNET
Middle Name:IRWIN
Last Name:ALPERT
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11760 SW 40TH ST STE 112
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-3589
Mailing Address - Country:US
Mailing Address - Phone:305-552-6969
Mailing Address - Fax:305-552-6775
Practice Address - Street 1:11760 SW 40TH ST STE 112
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-3589
Practice Address - Country:US
Practice Address - Phone:305-552-6969
Practice Address - Fax:305-552-6775
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2010-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS1685207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000044OtherAVMED
FL81698OtherBLUE CROSS & BLUE SHIELD
FL177188OtherWELL CARE
FL000323OtherNEIGHBORHOOD NHP
FL822452OtherAETNA
FL0000241OtherCIGNA
FLOS1685OtherLICENSE
FL000044OtherAVMED
FL177188OtherWELL CARE