PBH PROFESSIONAL GROUP, P.A. – NPI #1912670647
Preventive Medicine

A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.

PBH PROFESSIONAL GROUP, P.A. is a provider located in ORMOND BEACH, FL. NPPES has assigned the NPI number 1912670647 to PBH PROFESSIONAL GROUP, P.A. on July 28, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2083A0300X from the Health Care Provider Taxonomy code set, which is classified as Preventive Medicine, specializing in Addiction Medicine Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PBH PROFESSIONAL GROUP, P.A. below.

NPI Profile for
PBH PROFESSIONAL GROUP, P.A.

NPI Number
1912670647
Enumeration Date

(about 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PBH PROFESSIONAL GROUP, P.A.
Primary location
1200 W GRANADA BLVD STE 1A
ORMOND BEACH, FL 32174-8157
Phone: (386) 506-8110 Fax: (386) 463-2170
Mailing address
103 POWELL CT STE 100
BRENTWOOD, TN 37027-5050
Phone: (615) 308-7871 Fax:
Organization Subpart
No
Authorized Official
FLORA SADRI-AZARBAYEJANI
PRESIDENT AND SECRETARY
Phone: (413) 522-9246
Updated
Certification Date
Jul 28, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.