Active NPI
Alexander T Doerffler, MD
- Emergency Medicine Physician
- Pompano Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME 118082
- Practice address
- 201 E Sample Rd
Broward Health North
Pompano Beach, FL 33064-3502 - Phone
- (954) 941-8300
- NPI assigned
- Mar 31, 2006
- Last updated
- Mar 28, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 44956 | MN | |
| Emergency Medicine Physician | 207P00000X | ME 118082 | FL | Primary |
Addresses
Primary practice location
201 E Sample Rd
Broward Health North
Pompano Beach, FL 33064-3502
Mailing address
1501 NW 49TH St
Suite 140
Fort Lauderdale, FL 33309-3723
Phone (877) 751-1157
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44956 | Other | MN | MN MEDICAL LICENSE |
| ME 118082 | Other | FL | FLORIDA BOARD OF MEDICINE |
| 097313100 | Medicaid | MN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Minnesota Medical School, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 S Andrews Ave
Fort Lauderdale, FL 33316-2510
Phone (954) 939-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 118082 | FL | MD | Emergency Medicine Physician |
| 44956 | MN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Emergency Medicine of Broward LLC | Emergency Medicine | Current | Accepting new patients |
| Phoenix Emergency Medicine of Broward LLC | Emergency Medicine | Current | Accepting new patients |
| Phoenix Emergency Medicine of Broward LLC | Emergency Medicine | Current | Accepting new patients |
Locations
201 E Sample Rd
Deerfield Beach, FL 33064
Phone (954) 786-6400
1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000
5565 Centerview Dr
Ste 107
Raleigh, NC 27606
Phone (213) 484-7111
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Coral Springs, FL
- NPI 1871542969
-
- Emergency Medicine Physician
- Deerfield Beach, FL
- NPI 1407805591
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1992708887
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Broward Health Lighthouse Point ER
- General Acute Care Hospital
- Pompano Beach, FL
- NPI 1376571323
-
dba Broward Health North
- Emergency Care Clinic/Center
- Lighthouse Point, FL
- NPI 1720936792
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395964800000",
"number": "1154382836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 NW 49TH ST",
"address_2": "SUITE 140",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333093723",
"telephone_number": "877-751-1157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 E SAMPLE RD",
"address_2": "BROWARD HEALTH NORTH",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330643502",
"telephone_number": "954-941-8300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOERFFLER",
"first_name": "ALEXANDER",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-31",
"last_updated": "2014-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MN",
"license": "44956",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME 118082",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MN MEDICAL LICENSE",
"identifier": "44956",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA BOARD OF MEDICINE",
"identifier": "ME 118082",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "097313100",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pompano Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.