North Broward Hospital District

Primary specialty

Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X

License

ME134866 Issued in FL

Legal business name

NORTH BROWARD HOSPITAL DISTRICT

Practice address

9600 W Sample Rd
Suite 505
Coral Springs, FL 33065-4045

Phone

(954) 888-3666

Fax

(954) 753-6377

NPI assigned

Aug 17, 2015

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

Interim Cfo

Phone

(954) 847-4117

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• BH Physicians Coral Springs Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Part of

Robert L Odell MD

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

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1154797918",
    "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": "333093763",
            "telephone_number": "954-888-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 W SAMPLE RD",
            "address_2": "SUITE 505",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654045",
            "telephone_number": "954-888-3666",
            "fax_number": "954-753-6377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BROWARD HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH BROWARD HOSPITAL DISTRICT",
        "enumeration_date": "2015-08-17",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A",
        "authorized_official_last_name": "BERT",
        "authorized_official_first_name": "ALISA",
        "authorized_official_title_or_position": "INTERIM CFO",
        "authorized_official_telephone_number": "954-847-4117"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "FL",
            "license": "ME134866",
            "primary": true
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "00020",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253794079",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BH Physicians Coral Springs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BH Physicians Coral Springs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julie P Nordman, D.M.D.
• Rosalyn J Norensberg, M.S.W.
• Norman M. Kline, M.D. LLC
• Robert Joseph Norris, LMHC
• North Broward Hospital District
• North Broward Hospital District
• North Broward Hospital District
• North Broward Hospital District
• North Broward Hospital District
• North Broward Hospital District

• Pediatric Endocrinology Physician in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Pediatric Endocrinology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; 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.