Active NPI
George G Boctor, MD
- Internal Medicine Physician
- Fort Lauderdale, FL
National Provider Identifier
1194925560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME 99169
- Practice address
- 935 Intracoastal Dr
Fort Lauderdale, FL 33304-3623 - Phone
- (954) 776-1180
- Fax
- (954) 776-1181
- NPI assigned
- Jul 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME 99169 | FL | Primary |
Addresses
Primary practice location
935 Intracoastal Dr
Fort Lauderdale, FL 33304-3623
Mailing address
PO Box 23158
Fort Lauderdale, FL 33307-3158
Phone (954) 776-1180
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071013000059 | FL | Practitioner - Internal Medicine | 3476649948 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- New York Medical College, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- GGB MD PA
Practice addresses (Care Compare)
935 Intracoastal Dr
Fort Lauderdale, FL 33304-3623
Phone (954) 776-1180
Hospital & facility affiliations
- Trilogy Home Healthcare
- Pinnacle Home Care
- Holy Cross Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 99169 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| GGB MD PA | Internal Medicine | Current | Accepting new patients |
Locations
4701 N Federal Hwy
Ste A12
Ft Lauderdale, FL 33308
Phone (954) 771-2111
935 Intracoastal Dr
Ft Lauderdale, FL 33304
Phone (954) 522-8561
Interoperability endpoints
- gboctor2022504@direct.trinity-health.org
Organizations & group practices 1
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 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Coral Springs, FL
- NPI 1417021866
-
- Home Health Agency
- Plantation, FL
- NPI 1972060648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682380800000",
"number": "1194925560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23158",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333073158",
"telephone_number": "954-776-1180",
"fax_number": "954-776-1181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "935 INTRACOASTAL DR",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333043623",
"telephone_number": "954-776-1180",
"fax_number": "954-776-1181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOCTOR",
"first_name": "GEORGE",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-23",
"last_updated": "2023-04-25",
"certification_date": "2023-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME 99169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.