Active NPI
Angelle Brebnor, MD
- Obstetrics & Gynecology Physician
- Fort Lauderdale, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- FB7721651
- Practice address
- 4701 N Federal Hwy Ste B
Fort Lauderdale, FL 33308 - Phone
- (954) 229-6000
- Fax
- (954) 351-3782
- NPI assigned
- Apr 23, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 2743051 | NY | |
| Obstetrics & Gynecology Physician | 207V00000X | FB7721651 | FL | Primary |
Addresses
Primary practice location
4701 N Federal Hwy Ste B
Fort Lauderdale, FL 33308
Mailing address
4701 N Federal Hwy Ste B
Fort Lauderdale, FL 33308-4608
Phone (954) 229-6000
Other practice location 1
219 Bryant St
Buffalo, NY 14222-2006
Phone (202) 487-6683
Other practice location 2
1001 Main St Fl 4
Buffalo, NY 14203-1009
Phone (716) 636-8284
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | angelle.brebnor@holy-cross.com | 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Howard University College of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 NE 56TH St
Holy Cross Medical Group
Oakland Park, FL 33334-4149
Phone (954) 489-4576
1000 NE 56TH St FL
2 Holy Cross Medical Group
Ft Lauderdale, FL 33334-4149
Phone (954) 958-0626
1000 NE 56TH St Womens Ctr
Holy Cross Medical Group
Ft Lauderdale, FL 33334-4149
Phone (954) 229-8660
1309 S Federal Hwy
Holy Cross Medical Group
Fort Lauderdale, FL 33316-2040
Phone (954) 463-4383
4725 N Fed Hwy
Ft. Lauderdale, FL 33308-4603
Phone (954) 771-8000
4725 N Federal Hwy
Fort Lauderdale, FL 33308-4603
Phone (954) 542-6000
4725 N Federal Hwy 201
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 565-5807
4725 N Federal Hwy 302
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 351-5931
4725 N Federal Hwy 401
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 772-2136
4725 N Federal Hwy 501
Holy Cross Medical Group
Fort Lauderdale, FL 33308-4603
Phone (954) 351-7770
4725 N Federal Hwy 504
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 414-9750
4725 N Federal Hwy Cancer Ctr
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 267-7700
4725 N Federal Hwy HCMG Multispecialty
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 267-6770
4725 N Federal Hwy Neuro Radiology
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 492-5780
4725 N Federal Hwy Nuclear Medicine
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 492-5748
4725 N Federal Hwy Pathology Departmen
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 492-5728
Hospital & facility affiliations
- Holy Cross Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 274305 | NY | MD | Licensed Practical Nurse |
| 2743051 | NY | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holy Cross Hospital Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Holy Cross Primary Care, Inc | Current | Accepting new patients | |
| Holy Cross Hospital, Inc | Current | Accepting new patients |
Locations
4701 N Federal Hwy
Ste B
Ft Lauderdale, FL 33308
Phone (954) 229-6000
1309 S Federal Hwy
#G
Ft Lauderdale, FL 33316
Phone (954) 463-4383
1000 NE 56th St
Oakland Park, FL 33334
Phone (954) 229-8608
Networks
- FL HMO D-SNP
- FL HMO C-SNP
- FL HMO
Interoperability endpoints
- abrebnor2023640@direct.trinity-health.org
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Ft. Lauderdale, FL
- NPI 1467401877
Obstetrics & Gynecology
-
- Family Medicine Physician
- Coral Springs, FL
- NPI 1740637735
-
- Health & Wellness Coach
- Oakland Park, FL
- NPI 1063207595
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ft Lauderdale, FL
- NPI 1639197395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629590400000",
"number": "1013234590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4701 N FEDERAL HWY STE B",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333084608",
"telephone_number": "954-229-6000",
"fax_number": "954-351-3782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4701 N FEDERAL HWY STE B",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "33308",
"telephone_number": "954-229-6000",
"fax_number": "954-351-3782"
}
],
"practiceLocations": [
{
"address_1": "219 Bryant St",
"address_purpose": "LOCATION",
"city": "Buffalo",
"state": "NY",
"postal_code": "142222006",
"country_code": "US",
"telephone_number": "202-487-6683",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1001 Main St Fl 4",
"address_purpose": "LOCATION",
"city": "Buffalo",
"state": "NY",
"postal_code": "142031009",
"country_code": "US",
"telephone_number": "716-636-8284",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BREBNOR",
"first_name": "ANGELLE",
"name_prefix": "Miss",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-23",
"last_updated": "2021-08-22",
"certification_date": "2021-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "2743051",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "FB7721651",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "angelle.brebnor@holy-cross.com",
"affiliation": "N",
"endpointDescription": "Holy Cross Hospital Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "4701 N Federal Hwy Ste B",
"city": "Fort Lauderdale",
"state": "FL",
"country_code": "US",
"postal_code": "33308",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.