North Broward Hospital District

Organization Active NPI Federally Qualified Health Center (FQHC) · Margate, FL

NPI 1124430319 · NPPES record last updated Oct 28, 2025

Key facts

NPI
1124430319
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
NORTH BROWARD HOSPITAL DISTRICT
Practice address
5430 W Sample Rd
Margate, FL 33073-3453
Phone
(954) 759-7477
Fax
(954) 969-8055
NPI assigned
May 22, 2014
Organization subpart
Yes
Parent organization (as reported)
NORTH BROWARD HOSPITAL DISTRICT

Authorized official

Name
Alisa Bert
Title
Cfo
Phone
(954) 847-4117

Owners & managing parties with NPI records 24

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Owned or controlled facilities with NPI records 10

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 24

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Facilities with the same owner 8

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners 192

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 192

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in FL

Federally qualified health center certification: CCN 681892

Legal name
NORTH BROWARD HOSPITAL DISTRICT
Doing business as
MARGATE HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 1, 2021
Last certification
Jul 1, 2021
Ownership / control type
For profit – corporation
Organization structure
Government · Non-profit
Incorporated
Jan 6, 2004 in FL
Enrollment address
5430 W Sample Rd
Margate, FL 33073-3453

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Stuart M Glassberg
Individual
Corporate Officer
Reimbursement Manager
Jun 28, 2010
Nancy Gregoire
Individual
Corporate Officer
Board Member
Dec 1, 2017
Stacy Angier
Individual
Corporate Officer
Board Member
Oct 19, 2018
North Broward Hospital District
Organization · Fort Lauderdale, FL
5% Or Greater Direct Ownership Interest Jul 1, 1993 100%
Operational/Managerial Control Oct 1, 1993 100%
Ray Berry
Individual
Corporate Officer
Board Member
May 11, 2018
Marie Waugh
Individual
Corporate Officer
Board Member
Nov 30, 2018
Levi Williams
Individual
Corporate Officer
Board Member
Apr 2, 2021
Shane Strum
Individual
Corporate Officer
Ceo
Mar 29, 2021
Corporate Director
Ceo
Mar 29, 2021
Operational/Managerial Control
Ceo
Mar 29, 2021
Christopher Pernicano
Individual
Corporate Officer
Board Member
Apr 2, 2021
Jonathan Hage
Individual
Corporate Officer
Board Member
Apr 2, 2021
Alisa Bert
Individual
Corporate Officer
Interim Cfo
Feb 13, 2023
W-2 Managing Employee Feb 13, 2023
Operational/Managerial Control
Interim Cfo
Feb 13, 2023

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Broward Health North
Deerfield Beach, FL · CCN 100086
Hospital Operational/Managerial Control May 14, 2008
Broward Health Imperial Point
Fort Lauderdale, FL · CCN 100200
Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control
Jan 1, 1984
Jan 1, 1984
Broward Health Medical Center-Psych Unit
Fort Lauderdale, FL · CCN 10S039
Hospital Operational/Managerial Control Jul 1, 2007
Broward Health Coral Springs
Coral Springs, FL · CCN 100276
Hospital Operational/Managerial Control (100%) Mar 17, 1987
Broward Health Imperial Point-Psych Unit
Fort Lauderdale, FL · CCN 10S200
Hospital Operational/Managerial Control (100%) Jul 1, 1984
Broward Health North- Rehab Unit
Deerfield Beach, FL · CCN 10T086
Hospital Operational/Managerial Control May 13, 2008
Pompano Adult Primary Care
Pompano Beach, FL · CCN 101840
Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Jul 1, 1993
Oct 1, 1993
Specialty Care Center
Fort Lauderdale, FL · CCN 101841
Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Jul 1, 1993
Jul 1, 1993

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040405001860 FL Part B Supplier - Clinic/Group Practice 3577472422 Receives reassigned benefits from 251 practitioners
This NPI is an additional NPI on the enrollment
O20210715002440 FL Part a Provider - Federally Qualified Health Center (FQHC) 3577472422 Practice locations: Margate, FL

National Provider Directory

Tax ID family
Robert L Odell MD (140 organizations share this tax ID)
Part of
Robert L Odell MD

Networks

  • HealthSun Health Plans Network

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207Q00000X
Obstetrics & Gynecology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207V00000X
Psychiatry Physician
Group: 193200000X MULTI-SPECIALTY GROUP
2084P0800X
Federally Qualified Health Center (FQHC) 261QF0400X Yes

Addresses

Primary practice location

5430 W Sample Rd
Margate, FL 33073-3453

Mailing address

1608 SE 3Rd Ave FL 3
Fort Lauderdale, FL 33316-2564
Phone (954) 759-7477

Other identifiers

IdentifierTypeStateIssuer
259612104MedicaidFL
113196320MedicaidFL

Other names

  • BH Margate Health Center Doing business as
  • MARGATE HEALTH CENTER Doing business as

Other providers in Margate, FL

All providers in Margate, FL · Federally Qualified Health Center (FQHC) in Florida

Sources for this page

Verify at the official NPI Registry.