Organization Active NPI

Karl S Brot MD PA

  • Family Medicine Physician
  • Wilton Manors, FL
National Provider Identifier
1013172873
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0034310 Issued in FL
Legal business name
KARL S BROT MD PA
Practice address
1749 NE 26TH St
Suite E
Wilton Manors, FL 33305-1428
Phone
(954) 565-3838
Fax
(954) 565-3893
NPI assigned
Jul 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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

Authorized official

Name
Dr. Karl S Brot, MD
Title
Owner
Phone
(954) 565-3838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME0034310 FL Primary

Addresses

Primary practice location

1749 NE 26TH St
Suite E
Wilton Manors, FL 33305-1428

Mailing address

1749 NE 26TH St
Suite E
Wilton Manors, FL 33305-1428
Phone (954) 565-3838

Other identifiers 1

IdentifierTypeStateIssuer
1033292941OtherFLINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

1749 NE 26th St
Ste E
Wilton Manors, FL 33305
Phone (754) 218-7163

NPI Registry JSON

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1013172873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1749 NE 26TH ST",
            "address_2": "SUITE E",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051428",
            "telephone_number": "954-565-3838",
            "fax_number": "954-565-3893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1749 NE 26TH ST",
            "address_2": "SUITE E",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051428",
            "telephone_number": "954-565-3838",
            "fax_number": "954-565-3893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARL S BROT MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-22",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "BROT",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-565-3838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0034310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1033292941",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton Manors, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.