Ely Brand, MD

Primary specialty

Gynecologic Oncology PhysicianTaxonomy code 207VX0201X

License

ME86456 Issued in FL

Practice address

603 N Flamingo Rd
#261
Pembroke Pines, FL 33028-1023

Phone

(954) 433-5090

NPI assigned

Jan 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191888000000",
    "number": "1063492809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 816967",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330810967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 N FLAMINGO RD",
            "address_2": "#261",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281023",
            "telephone_number": "954-433-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAND",
        "first_name": "ELY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2007-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "FL",
            "license": "ME86456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "78617",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cecilia Boza
• Alecia Bradley, OTA/L
• Dejah Bradley
• Desiree Bradwell
• Carron Elaine Bramwell, ARNP
• Kylie Marie Brandt, DO, MPH
• Jason Phillip Brandwein, DPM
• Jennifer Lee Branham, LCSW
• Brave Babies LLC
• Marthy L Brave, PT, DPT

• Gynecologic Oncology Physician in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Gynecologic Oncology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.