Active NPI
North Broward Hospital District
- Orthopaedic Surgery Physician
- Fort Lauderdale, FL
National Provider Identifier
1104697291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- NORTH BROWARD HOSPITAL DISTRICT
- Practice address
- 6333 N Federal Hwy Ste 250
Fort Lauderdale, FL 33308-1910 - Phone
- (954) 776-8580
- Fax
- (954) 776-8588
- NPI assigned
- Jan 9, 2024
- Organization subpart
- No
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
- Interim Cfo
- Phone
- (954) 473-7483
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary | ||
| Orthopaedic Hand Surgery Physician | 207XS0106X |
Addresses
Primary practice location
6333 N Federal Hwy Ste 250
Fort Lauderdale, FL 33308-1910
Mailing address
1700 NW 49TH St Ste 125
Fort Lauderdale, FL 33309-3750
Phone (954) 473-7642
Other names 1
- BH Physicians Imperial Point
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 |
National Provider Directory
National Provider Directory- Tax ID family
- Robert L Odell MD
Organizations with this tax ID in the same state 20
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- General Acute Care Hospital
- Fort Lauderdale, FL
- NPI 1023409539
-
- Internal Medicine Physician
- Fort Lauderdale, FL
- NPI 1023965944
-
- Neurology Physician
- Fort Lauderdale, FL
- NPI 1043028475
-
- Pediatric Endocrinology Physician
- Fort Lauderdale, FL
- NPI 1053197475
-
- Pediatric Gastroenterology Physician
- Fort Lauderdale, FL
- NPI 1053349001
-
- Internal Medicine Physician
- Fort Lauderdale, FL
- NPI 1073884417
-
- Cardiovascular Disease Physician
- Coral Springs, FL
- NPI 1093424830
-
- Pharmacy
- Fort Lauderdale, FL
- NPI 1093743049
-
- Medical Oncology Physician
- Pompano Beach, FL
- NPI 1104854157
-
- Family Medicine Physician
- Fort Lauderdale, FL
- NPI 1104984533
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Fort Lauderdale, FL
- NPI 1114164282
-
- Vascular Neurology Physician
- Fort Lauderdale, FL
- NPI 1114366580
Locations
6333 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 861-0760
Networks
- HealthSun Health Plans Network
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Medical Physician Assistant
- Fort Lauderdale, FL
- NPI 1124059159
-
- Adult Health Nurse Practitioner
- Fort Lauderdale, FL
- NPI 1003782228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738022400000",
"number": "1104697291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 NW 49TH ST STE 125",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333093750",
"telephone_number": "954-473-7642",
"fax_number": "954-473-7686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6333 N FEDERAL HWY STE 250",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333081910",
"telephone_number": "954-776-8580",
"fax_number": "954-776-8588"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH BROWARD HOSPITAL DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-09",
"last_updated": "2025-01-28",
"certification_date": "2025-01-28",
"status": "A",
"authorized_official_last_name": "BERT",
"authorized_official_first_name": "ALISA",
"authorized_official_title_or_position": "INTERIM CFO",
"authorized_official_telephone_number": "954-473-7483"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "207XS0106X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BH Physicians Imperial Point",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "BH Physicians Imperial Point",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Lauderdale, FL
- North Broward Hospital District
- North Broward Hospital District
- North Broward Hospital District
- North Broward Hospital District
- North Broward Hospital District
- North Broward Hospital District
- North Broward Hospital District
- North Broward Hospital District
- North Broward Hospital District
- 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 Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.