Active NPI
Bethany Vigroux, PA
- Physician Assistant
- Hollywood, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9107323
- Practice address
- 1150 N 35TH Ave
Suite 130
Hollywood, FL 33021-5424 - Phone
- (954) 265-7700
- Fax
- (954) 893-3799
- NPI assigned
- Aug 4, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA7355 | MA | |
| Physician Assistant | 363A00000X | PA9107323 | FL | Primary |
Addresses
Primary practice location
1150 N 35TH Ave
Suite 130
Hollywood, FL 33021-5424
Mailing address
7420 Avenida del Mar Apt 2604
Boca Raton, FL 33433-4875
Phone (508) 813-2342
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 NE 56TH St
Fort Lauderdale, FL 33334-4149
Phone (954) 229-8635
703 N Flamingo Rd
Memorial Hospital West
Pembroke Pines, FL 33028-1006
Phone (954) 436-5000
Hospital & facility affiliations
- Memorial Hospital West
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9107323 | FL | MD | Physician Assistant |
| PA7355 | MA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Broward Hospital District | Current | Accepting new patients | |
| Palm Beach Acute Care Consultants, LLC | Current | Accepting new patients | |
| South Broward Hospital District | Current | Accepting new patients | |
| Asha Wellness LLC | Past | Accepting new patients | |
| Tamarac Physicians Group Inc | Past | Accepting new patients |
Locations
1150 N 35th Ave
Ste 130
Hollywood, FL 33021
Phone (954) 265-7700
2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581
3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000
227 Professional Way
Wellington, FL 33414
Phone (561) 318-8440
227 Professional Way
Ste 100
Wellington, FL 33414
Phone (561) 318-8440
Organizations & group practices 8
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.
-
- Surgical Physician Assistant
- Pembroke Pines, FL
- NPI 1528456548
-
- Infectious Disease Physician
- Wellington, FL
- NPI 1235403833
-
- Internal Medicine Physician
- North Miami Beach, FL
- NPI 1689446700
-
- Critical Care Medicine (Internal Medicine) Physician
- Hollywood, FL
- NPI 1609884154
-
- Home Infusion Therapy Pharmacy
- Miramar, FL
- NPI 1043656614
-
- Trauma Surgery Physician
- Hollywood, FL
- NPI 1659389161
-
- Physical Therapy Clinic/Center
- Tamarac, FL
- NPI 1548790108
-
- Chiropractor
- Tamarac, FL
- NPI 1780887760
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pembroke Pines, FL
- NPI 1134102080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710806400000",
"number": "1265711501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7420 AVENIDA DEL MAR APT 2604",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334334875",
"telephone_number": "508-813-2342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 N 35TH AVE",
"address_2": "SUITE 130",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330215424",
"telephone_number": "954-265-7700",
"fax_number": "954-893-3799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIGROUX",
"first_name": "BETHANY",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-04",
"last_updated": "2024-03-19",
"certification_date": "2024-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "PA7355",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9107323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.