Active NPI
North Broward Hospital District
Doing business as BH Physicians North
- Cardiovascular Disease Physician
- Coconut Creek, FL
National Provider Identifier
1225521701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- NORTH BROWARD HOSPITAL DISTRICT
- Doing business as
- BH Physicians North
- Practice address
- 4851 W Hillsboro Blvd Ste A7
Coconut Creek, FL 33073-4355 - Phone
- (561) 483-3520
- Fax
- (461) 483-3583
- NPI assigned
- Jun 11, 2018
- Last updated
- May 10, 2024
- Organization subpart
- Yes
- Parent organization
- NORTH BROWARD HOSPITAL DISTRICT
NPPES NPI Registry
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
4851 W Hillsboro Blvd Ste A7
Coconut Creek, FL 33073-4355
Mailing address
1700 NW 49TH St Ste 125
Fort Lauderdale, FL 33309-3750
Phone (954) 473-7642
Other names 1
- BH Physicians North
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040405001860 | FL | Part B Supplier - Clinic/Group Practice | 3577472422 |
Receives reassigned benefits from 251 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider Directory- Part of
- Lauderdale Medical Grou
Networks
- HealthSun Health Plans Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715299200000",
"number": "1225521701",
"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": "954-473-7642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4851 W HILLSBORO BLVD STE A7",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "330734355",
"telephone_number": "561-483-3520",
"fax_number": "461-483-3583"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH BROWARD HOSPITAL DISTRICT",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NORTH BROWARD HOSPITAL DISTRICT",
"enumeration_date": "2018-06-11",
"last_updated": "2024-05-10",
"certification_date": "2023-02-14",
"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": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BH Physicians North",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "BH Physicians North",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Coconut Creek, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.