NPIMap

Organization Active NPI

North Broward Hospital District

Doing business as Broward Health Coral Springs

  • General Acute Care Hospital
  • Coral Springs, FL
National Provider Identifier
1174551147
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
3954 Issued in FL
Legal business name
NORTH BROWARD HOSPITAL DISTRICT
Doing business as
Broward Health Coral Springs
Practice address
3000 Coral Hills Dr
Coral Springs, FL 33065
Phone
(954) 344-3000
Fax
(954) 847-4245
NPI assigned
Jun 29, 2006
Last updated
May 10, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTH BROWARD HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 10, 2024

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) 473-7483

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 3954 FL Primary

Addresses

Primary practice location

3000 Coral Hills Dr
Coral Springs, FL 33065

Mailing address

1700 NW 49TH St Ste 125
Fort Lauderdale, FL 33309-3750
Phone (954) 575-6455

Other identifiers 2

IdentifierTypeStateIssuer
012040500MedicaidFL
294OtherFLBCBS OF FL

Other names 1

  • Broward Health Coral Springs Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080530000172 FL Part A Provider - Hospital 3577472422 Practice locations: Coral Springs, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174551147. Details of each certification follow.

Hospital certification: CCN 100276

Legal name
NORTH BROWARD HOSPITAL DISTRICT
Doing business as
BROWARD HEALTH CORAL SPRINGS
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Mar 17, 1987
Last certification
Nov 5, 2021
Beds
243
Ownership / control type
Hospital district or authority
Organization structure
GovernmentNon-profit
Enrollment address
3000 Coral Hills Dr
Coral Springs, FL 33065-4108
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Other NPIs with the same Medicare PAC ID 24

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

View all 24

Care Compare: Hospital

Medicare Care Compare
Listed as
Broward Health Coral SpringsCCN 100276 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Part of
Lauderdale Medical Grou

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • HealthSun Health Plans Network

Ownership & related parties

All disclosed owners & managing parties 13

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 W-2 Managing EmployeeManager, Third Party Reimbursem Jun 25, 2010
Nancy Gregoire Individual Corporate OfficerBoard of Commissioners Member Dec 1, 2017
Modesto Gato Individual Corporate OfficerInterim Cfo Jan 11, 2022
Corporate DirectorInterim Cfo Jan 11, 2022
Operational/Managerial ControlInterim Cfo Jan 11, 2022
Stacy Angier Individual Corporate OfficerBoard of Commissioners Member Oct 19, 2018
Jennifer B Nicole Individual Corporate OfficerBoard Member Jun 9, 2025
Corporate DirectorBoard Member Jun 9, 2025
Operational/Managerial ControlBoard Member Jun 9, 2025
North Broward Hospital District Organization, Fort Lauderdale, FL Operational/Managerial Control Mar 17, 1987 100%
Paul C. Tanner Individual Corporate OfficerBoard Commissioner Member May 20, 2022
Corporate DirectorBoard Commissioner Member May 20, 2022
Operational/Managerial ControlBoard Commissioner Member May 25, 2022
Kristen Bowman Individual Corporate OfficerCeo Nov 27, 2023
Corporate DirectorCeo Nov 27, 2023
Operational/Managerial Control Nov 27, 2023
Ray Berry Individual Corporate OfficerBoard of Commisioners Member May 11, 2018
Shane Strum Individual Corporate OfficerCeo Mar 29, 2021
Corporate DirectorCeo Mar 29, 2021
Operational/Managerial ControlCeo Mar 29, 2021
Christopher Pernicano Individual Corporate OfficerBoard Member Apr 2, 2021
Jonathan Hage Individual Corporate OfficerBoard Member Apr 2, 2021
Alisa Bert Individual Corporate OfficerCfo Mar 3, 2023
Corporate DirectorCfo Mar 3, 2023
Operational/Managerial ControlCfo Mar 3, 2023

Owners & managing parties with NPI records 24

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

View all 24

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 NorthDeerfield Beach, FL, CCN 100086 Hospital Operational/Managerial Control May 14, 2008
Broward Health Imperial PointFort 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 UnitFort Lauderdale, FL, CCN 10S039 Hospital Operational/Managerial Control Jul 1, 2007
Broward Health Imperial Point-Psych UnitFort Lauderdale, FL, CCN 10S200 Hospital Operational/Managerial Control (100%) Jul 1, 1984
Broward Health North- Rehab UnitDeerfield Beach, FL, CCN 10T086 Hospital Operational/Managerial Control May 13, 2008
Pompano Adult Primary CarePompano 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 CenterFort 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
Margate Health CenterMargate, FL, CCN 681892 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jul 1, 1993
Oct 1, 1993

Owned or controlled facilities with NPI records 10

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

Facilities with the same owner 8

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

Practitioners & affiliated clinicians

Affiliated clinicians 404

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 404

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715299200000",
    "number": "1174551147",
    "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": "333093750",
            "telephone_number": "954-575-6455",
            "fax_number": "954-767-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 CORAL HILLS DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "33065",
            "telephone_number": "954-344-3000",
            "fax_number": "954-847-4245"
        }
    ],
    "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": "2024-05-10",
        "certification_date": "2023-02-13",
        "status": "A",
        "authorized_official_last_name": "BERT",
        "authorized_official_first_name": "ALISA",
        "authorized_official_title_or_position": "INTERIM CFO",
        "authorized_official_telephone_number": "954-473-7483"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "FL",
            "license": "3954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012040500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "294",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broward Health Coral Springs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Broward Health Coral Springs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.