Individual provider Active NPI

Susana Zamora Brandt, M.D.

  • Family Medicine Physician
  • Fort Lauderdale, FL
National Provider Identifier
1174572259
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME105831 Issued in FL
Practice address
200 NW 7TH Ave
Fort Lauderdale, FL 33311-9026
Phone
(954) 759-6600
Fax
(954) 759-6665
NPI assigned
May 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME105831 FL Primary

Addresses

Primary practice location

200 NW 7TH Ave
Fort Lauderdale, FL 33311-9026

Mailing address

1700 NW 49TH St Ste 125
Fort Lauderdale, FL 33309-3750
Phone (954) 759-6600

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
I20110725000301 FL Practitioner - Family Practice 7315997640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1608 SE 3Rd Ave
Third Floor Cbo/PBS
Fort Lauderdale, FL 33316-2564

500 W Jefferson St
Louisville, KY 40202-2881

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME105831FLMDFamily Medicine Physician
ME105631FLMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Broward Hospital District CurrentSince Apr 1, 2013 Accepting new patients
Guidewell Sanitas I, LLC CurrentSince Sep 1, 2023 Accepting new patients
North Broward Hospital District Current Accepting new patients
Guidewell Sanitas I, LLC Family Medicine Current Accepting new patients

Locations

3001 Coral Hills Dr
Ste 360
Coral Springs, FL 33065
Phone (954) 341-2916

8400 NW 33rd St
Ste 201
Doral, FL 33122
Phone (786) 882-2869

1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000

200 NW 7th Ave
Ft Lauderdale, FL 33311
Phone (954) 355-5110

1700 NW 49th St
Ste 125
Ft Lauderdale, FL 33309
Phone (954) 355-3490

180 SW 84th Ave
Plantation, FL 33324
Phone (954) 271-2855

Interoperability endpoints

  • Direct secure messaging: susana.brandt@wwmp.eclinicaldirectplus.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1174572259",
    "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": "954-759-6600",
            "fax_number": "954-759-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NW 7TH AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333119026",
            "telephone_number": "954-759-6600",
            "fax_number": "954-759-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDT",
        "first_name": "SUSANA",
        "middle_name": "ZAMORA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-08",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME105831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.