Individual provider Active NPI

Stevenson Brisson Chery, MD

  • Family Medicine Physician
  • West Park, FL
National Provider Identifier
1144723958
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME143611 Issued in FL
Practice address
5800 W Hallandale Beach Blvd
West Park, FL 33023-5244
Phone
(954) 966-3939
Fax
(954) 966-5959
NPI assigned
Mar 18, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X ME143611 FL Primary

Addresses

Primary practice location

5800 W Hallandale Beach Blvd
West Park, FL 33023-5244

Mailing address

5010 Hollywood Blvd # 5012
Hollywood, FL 33021-6557
Phone (954) 967-0028

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
I20200611000127 FL Practitioner - Family Practice 2365863727 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Broward Community and Family Health Centers IncGroup PAC ID 9032170345, 17 clinicians

Practice addresses (Care Compare)

168 N Powerline Rd
Pompano Beach, FL 33069-5713
Phone (954) 970-8805

5010 - 5012 Hollywood Blvd
Hollywood, FL 33021-6557

5010 Hollywood Blvd
Hollywood, FL 33021-6557
Phone (954) 967-0028

Hospital & facility affiliations

  • Memorial Regional Hospital Hospital, Hollywood, FL, CCN 100038

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health of South Florida Inc CurrentSince Apr 14, 2020 Accepting new patients
Broward Community and Family Health Centers Inc CurrentSince Jan 23, 2023 Accepting new patients
Broward Community and Family Health Centers Inc CurrentSince Jan 23, 2023 Accepting new patients
Community Health of South Florida, Inc CurrentSince Apr 14, 2020 Accepting new patients
Broward Community and Family Health Centers Inc Past Accepting new patients

Locations

10300 SW 216th St
Cutler Bay, FL 33190

2400 NW 26th St
Bldg 19
Fort Lauderdale, FL 33311
Phone (954) 266-2999

5010 Hollywood Blvd
Hollywood, FL 33021

5010 Hollywood Blvd
Ste 100B
Hollywood, FL 33021
Phone (954) 967-0028

5010 Hollywood Blvd
#5012
Hollywood, FL 33021

810 W Mowry Dr
Homestead, FL 33030
Phone (305) 242-6040

1295 NW 40th Ave
#200
Lauderhill, FL 33313
Phone (954) 583-4710

168 N Powerline Rd
Pompano Beach, FL 33069
Phone (954) 633-0023

5800 W Hallandale Beach Blvd
West Park, FL 33023
Phone (954) 966-3939

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1521331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1144723958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 HOLLYWOOD BLVD # 5012",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216557",
            "telephone_number": "954-967-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 W HALLANDALE BEACH BLVD",
            "city": "WEST PARK",
            "state": "FL",
            "postal_code": "330235244",
            "telephone_number": "954-966-3939",
            "fax_number": "954-966-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERY",
        "first_name": "STEVENSON",
        "middle_name": "BRISSON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-18",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME143611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Park, FL

Sources for this page

Verify at the official NPI Registry.