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VIVIAN BILASANO MD LLC
NPI 1639559750
Clinic/Center - Primary Care in Pembroke Pines, FL

Active since June 03, 2015CLIA Certified · 2 labs
17913 NW 7TH ST STE 101, PEMBROKE PINES, FL 33029(954) 320-7999(954) 320-7601 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 13, 2026, Jan 29, 2016 (2 updates tracked since 2016).

About Vivian Bilasano Md Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIVIAN BILASANO MD LLC (NPI 1639559750), doing business as Bck Primecare, is a healthcare organization registered as a primary care in Pembroke Pines, Florida and active in the NPI registry since June 2015. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Miramar, and lists Vivian Bilasano, Md, as its authorized official.

NPPES Registry Identity

NPI1639559750
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameVIVIAN BILASANO MD LLC
Location Address17913 NW 7TH ST STE 101Pembroke Pines, FL 33029-2811
Mailing Address17913 Nw 7th St Ste 101Pembroke Pines, FL 33029-2811 · (954) 320-7999 · Fax (954) 320-7601
Phone(954) 320-7999
Fax(954) 320-7601
Organization SubpartNo
Authorized OfficialVivian BilasanoMd · (305) 502-5272
Enumeration DateJune 3, 2015
Last NPPES UpdateMarch 13, 20262 updates tracked since enumeration
NPPES CertifiedMarch 13, 2026
✔ NPI 1639559750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in FL · ME 77619
17913 NW 7TH ST STE 101, Pembroke Pines, FL 33029
Open in Google Maps ↗

Other Names 2

Doing Business AsBck Primecare
Doing Business AsBck Wellness

Secondary Practice Location 1

Location 11951 SW 172nd Ave, SUITE312Miramar, FL 33029-5593 · Phone (954) 320-7999 · Fax (954) 320-7601

Other Identifiers 4

Medicaid257505100FL
Other1821002825Npi
Other1316140262FL · Npi
Medicaid001237900FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2168940

Vivian Bilasano MD LLC Dba Bck Primecare · Pembroke Pines, FL
Active · expires Feb 11, 2027
CLIA Number10D2168940
Laboratory TypePhysician Office
Certificate Effective DateFebruary 12, 2025
Certificate Expiration DateFebruary 11, 2027
Laboratory DirectorVivian B. Bilasano
Laboratory Phone(954) 320-7999
Laboratory LocationVivian Bilasano MD LLC Dba Bck Primecare17913 NW 7th St Ste 101, Pembroke Pines, FL 33029
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2097711

Vivian Bilasano MD LLC Dba Bck Primecare · Miramar, FL
Active · expires Jun 21, 2027
CLIA Number10D2097711
Laboratory TypePhysician Office
Certificate Effective DateJune 22, 2025
Certificate Expiration DateJune 21, 2027
Laboratory DirectorVivian Bilasano
Laboratory Phone(305) 502-5272
Laboratory LocationVivian Bilasano MD LLC Dba Bck Primecare1951 SW 172 Ave Ste 312, Miramar, FL 33029
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JORGE KONOPKA M.D.
Family Medicine
17913 NW 7TH ST STE 101
PEMBROKE PINES, FL 33029
Broward County (954) 320-7999
DR. VIVIAN BILASANO M.D.
Internal Medicine
17913 NW 7TH ST STE 101
PEMBROKE PINES, FL 33029
Broward County (954) 320-7999

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 Vivian Bilasano MD LLC's NPI number?

The NPI number for Vivian Bilasano MD LLC is 1639559750. It was assigned to this organization in the NPPES registry on June 3, 2015. The provider is doing business as BCK PrimeCARE and BCK Wellness.

Where is Vivian Bilasano MD LLC located?

Vivian Bilasano MD LLC is located at 17913 NW 7th St Ste 101, Pembroke Pines, FL 33029. The listed phone number is (954) 320-7999.

What is Vivian Bilasano MD LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Vivian Bilasano MD LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Vivian Bilasano MD LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare list Vivian Bilasano MD LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vivian Bilasano MD LLC was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.