ALEXANDER SIMON STEPHEN MADDOCK
NPI 1427801844
Student in an Organized Health Care Education/Training Program in Miami, FL
About Alexander Simon Stephen Maddock NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALEXANDER SIMON STEPHEN MADDOCK (NPI 1427801844) is an individual student in an organized health care education/training program in Miami, Florida, licensed in Florida (43213) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS and maintains a secondary practice location in Richmond.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Alexander Simon Stephen Maddock is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MIAMI, FL 33136
MIAMI, FL 33136
MIAMI, FL 33136
MIAMI, FL 33136
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Alexander Maddock's NPI number?
The NPI number for Alexander Maddock is 1427801844. It was assigned to this individual provider in the NPPES registry on April 8, 2024.
Where is Alexander Maddock located?
Alexander Maddock practices at 1611 NW 12th Ave, Miami, FL 33136. The listed phone number is (305) 585-6000.
What is Alexander Maddock's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Alexander Maddock enrolled in Medicare?
Yes. Alexander Maddock is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Alexander Maddock was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Alexander Simon Stephen Maddock · NPI 1427801844
Student in an Organized Health Care Education/Training Program provider in Miami, Florida. Individual provider, active in the CMS NPPES registry since April 8, 2024.
## Identity
- **NPI:** 1427801844 (Entity type: Individual)
- **Enumerated:** April 8, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** 43213 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1611 NW 12TH AVE, Miami, FL 33136-1005
- **Phone:** (305) 585-6000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1427801844) · Data from the CMS NPPES public registry.