North Broward Hospital District

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

NORTH BROWARD HOSPITAL DISTRICT

Doing business as

BH Physicians Main
BHPG M 1601 Gi
BHPG M 1601 Neu1 more in Other names

Practice address

1601 S Andrews Ave FL 3
Fort Lauderdale, FL 33316-2509

Phone

(954) 763-6665

Fax

(954) 763-6799

NPI assigned

Jun 29, 2006

Last updated

Oct 15, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

NORTH BROWARD HOSPITAL DISTRICTAs reported in NPPES

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 5

Addresses

Other identifiers 2

Other names 4

• BH Physicians Main Doing business as
• BHPG M 1601 GI Doing business as
• BHPG M 1601 NEU Doing business as
• BHPG M 1601 ORT SURG 2 Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Part of

N Btroward Hospital Dis

Networks

• HealthSun Health Plans Network

Practitioners 3

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.

• Mehdi Bouslama

  • Vascular Neurology Physician
  • Fort Lauderdale, FL
  • NPI 1942732680
  NPD (past)
• Allison Heather Printz, FNP-C

  • Family Nurse Practitioner
  • Fort Lauderdale, FL
  • NPI 1033833553
  NPD (past)
• Kelly Melissa Roland, APRN

  • Family Nurse Practitioner
  • Fort Lauderdale, FL
  • NPI 1013486729
  NPD (past)

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1114955176",
    "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": "954-763-6655",
            "fax_number": "954-763-6799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 S ANDREWS AVE FL 3",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162509",
            "telephone_number": "954-763-6665",
            "fax_number": "954-763-6799"
        }
    ],
    "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": "2025-10-15",
        "certification_date": "2025-10-15",
        "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": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253794026",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "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 1601 GI",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BHPG M 1601 NEU",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BHPG M 1601 ORT SURG 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• North Broward Hospital District (Broward General Pharmacy Inpatient)
• North Broward Hospital District (BH Physicians Imperial Point)
• North Broward Hospital District (BH Physcians Imperial Point)
• North Broward Hospital District (BH Physicians Main)
• North Broward Hospital District (BH Physicians Main)
• North Broward Hospital District (CCC Adult Clinic)
• North Broward Hospital District (Broward Health Cora E. Braynon Family Health Center Pharmacy)
• North Broward Hospital District (Cdla Adult Clinic)
• North Broward Hospital District (BH Physicians Main)
• North Broward Hospital District (BH Physicians Main)

• Neurological Surgery Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Neurological Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.

Verify at the official NPI Registry.