Individual provider Active NPI

Natali Brown Gonzalez, MD

  • Family Medicine Physician
  • Hollywood, FL
National Provider Identifier
1104489202
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME153333 Issued in FL
Practice address
390 S State Road 7
Hollywood, FL 33023-6718
Phone
(954) 743-5522
Fax
(954) 743-5632
NPI assigned
Apr 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME153333 FL Primary

Addresses

Primary practice location

390 S State Road 7
Hollywood, FL 33023-6718

Mailing address

390 S State Road 7
Hollywood, FL 33023-6718
Phone (954) 743-5522

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
I20220311001427 FL Practitioner - Family Practice 6901291848 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chen Neighborhood Medical Centers of South Florida, LLC CurrentSince Mar 13, 2022 Accepting new patients

Locations

390 S State Road 7
Hollywood, FL 33023
Phone (954) 743-5522

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

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": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1104489202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 S STATE ROAD 7",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330236718",
            "telephone_number": "954-743-5522",
            "fax_number": "954-743-5632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 S STATE ROAD 7",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330236718",
            "telephone_number": "954-743-5522",
            "fax_number": "954-743-5632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN GONZALEZ",
        "first_name": "NATALI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-16",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME153333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.