Active NPI
North Broward Hospital District
Doing business as BH Physicians Main
- Cardiovascular Disease Physician
- Plantation, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- NORTH BROWARD HOSPITAL DISTRICT
- Doing business as
- BH Physicians Main
BHPG M 260 Car - Practice address
- 260 SW 84TH Ave
Plantation, FL 33324-2715 - Phone
- (954) 382-0700
- Fax
- (954) 382-0400
- NPI assigned
- Jun 29, 2006
- Last updated
- Mar 25, 2025
- Organization subpart
- Yes
- Parent organization
- NORTH BROWARD HOSPITAL DISTRICT
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alisa Bert
- Title
- Cfo
- Phone
- (954) 847-4117
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
260 SW 84TH Ave
Plantation, FL 33324-2715
Mailing address
1608 SE 3Rd Ave FL 3
Fort Lauderdale, FL 33316-2564
Phone (954) 382-0700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 263310800 | Medicaid | FL | |
| 00020 | Other | FL | BCBS OF FL |
Other names 2
- BH Physicians Main
- BHPG M 260 CAR
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040405001860 | FL | Part B Supplier - Clinic/Group Practice | 3577472422 |
Receives reassigned benefits from 251 practitioners This NPI is an additional NPI on the enrollment |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1099666 | North Broward Hospital District | Certificate of waiver | May 18, 2027 |
National Provider Directory
National Provider Directory- Part of
- NBHD Imperial Point Med
Locations
1625 SE 3rd Ave
Ste 600
Ft Lauderdale, FL 33316
Phone (954) 355-4106
260 SW 84th Ave
Plantation, FL 33324
Phone (954) 382-0700
Networks
- HealthSun Health Plans Network
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Fort Lauderdale, FL
- NPI 1073175345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742860800000",
"number": "1043248016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1608 SE 3RD AVE FL 3",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333162564",
"telephone_number": "954-382-0700",
"fax_number": "954-382-0400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 SW 84TH AVE",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333242715",
"telephone_number": "954-382-0700",
"fax_number": "954-382-0400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH BROWARD HOSPITAL DISTRICT",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NORTH BROWARD HOSPITAL DISTRICT",
"enumeration_date": "2006-06-29",
"last_updated": "2025-03-25",
"certification_date": "2025-03-25",
"status": "A",
"authorized_official_last_name": "BERT",
"authorized_official_first_name": "ALISA",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "954-847-4117"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "263310800",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FL",
"identifier": "00020",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "BH Physicians Main",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "BH Physicians Main",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "BHPG M 260 CAR",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Plantation, FL
- Leiza Lee Norat Santiago
- Felipe Norena, DDS, MSD
- Carleen A Noreus, AGACNP-BC
- Sally S Noriega, ARNP
- Jetzabell Nortey Mayola
- North Broward Hospital District (PWHC OBGYN)
- North Broward Hospital District (BH Urgent C are Plantation)
- North Broward Hospital District (BH Physicians Main)
- North Broward Hospital District (BH Physicians Main)
- North Broward Hospital District
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.