Individual provider Active NPI

Brandi Janece Baker, MD

  • Neurology Physician
  • Weston, FL
National Provider Identifier
1003298852
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME144949 Issued in FL
Practice address
17180 Royal Palm Blvd Ste 1
Weston, FL 33326-2394
Phone
(954) 276-1474
Fax
(954) 285-6026
NPI assigned
Jun 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 2019006016 MO
Neurology Physician 2084N0400X ME144949 FL Primary

Addresses

Primary practice location

17180 Royal Palm Blvd Ste 1
Weston, FL 33326-2394

Mailing address

2900 Corporate Way
Door D
Miramar, FL 33025-3925
Phone (954) 276-5685

Other practice location 1

601 N Flamingo Rd Ste 204
Pembroke Pines, FL 33028-1008
Phone (954) 276-1474

Other practice location 2

1150 N 35th Ave Ste 590
Hollywood, FL 33021-5468
Phone (954) 265-9500

Other identifiers 1

IdentifierTypeStateIssuer
107413300MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bbaker245721@MHSDIRECT.NET Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200729000732 FL Practitioner - Neurology 2860706777 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME144949FLMDNeurology Physician
2019006016MOMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Broward Hospital District CurrentSince Aug 1, 2020 Accepting new patients
South Broward Hospital District Neurology CurrentSince Aug 1, 2020 Accepting new patients

Locations

1150 N 35th Ave
Ste 590
Hollywood, FL 33021
Phone (954) 265-9500

4302 Alton Rd
Ste 330
Miami Beach, FL 33140
Phone (305) 532-2464

2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581

601 N Flamingo Rd
Ste 204
Pembroke Pines, FL 33028
Phone (954) 276-1474

17180 Royal Palm Blvd
Ste 1
Weston, FL 33326
Phone (954) 276-1474

Interoperability endpoints

  • Direct secure messaging: bbaker245721@mhsdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1003298852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 CORPORATE WAY",
            "address_2": "DOOR D",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330253925",
            "telephone_number": "954-276-5685",
            "fax_number": "954-985-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17180 ROYAL PALM BLVD STE 1",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333262394",
            "telephone_number": "954-276-1474",
            "fax_number": "954-285-6026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 N Flamingo Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330281008",
            "country_code": "US",
            "telephone_number": "954-276-1474",
            "fax_number": "954-385-6026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1150 N 35th Ave Ste 590",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330215468",
            "country_code": "US",
            "telephone_number": "954-265-9500",
            "fax_number": "954-265-1431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "BRANDI",
        "middle_name": "JANECE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-28",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "2019006016",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME144949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107413300",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bbaker245721@MHSDIRECT.NET",
            "affiliation": "N",
            "endpointDescription": "MHS DSM",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1150 N 35th Ave Ste 590",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330215468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

Verify at the official NPI Registry.