Individual provider Active NPI

Tye Ed Barber, D.O.

  • Family Medicine Physician
  • Davie, FL
National Provider Identifier
1275795486
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS 10370 Issued in FL
Practice address
3200 S University Dr
Nova Southeastern Univ. - HPD
Davie, FL 33328-2018
Phone
(954) 262-4100
NPI assigned
Jun 29, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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 OS 10370 FL Primary

Addresses

Primary practice location

3200 S University Dr
Nova Southeastern Univ. - HPD
Davie, FL 33328-2018

Mailing address

3200 S University Dr
Nova Southeastern Univ. - HPD
Davie, FL 33328-2018
Phone (954) 262-4100

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://login.intelichart.com/NSUHealthClinics/

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
I20091005000400 FL Practitioner - Family Practice 3577609536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nova Southeastern University IncGroup PAC ID 4486568896, 97 clinicians

Practice addresses (Care Compare)

8501 SW 124TH Ave
Suite 111a
Miami, FL 33183-4631
Phone (954) 262-4343

Hospital & facility affiliations

  • Broward Health Medical Center Hospital, Fort Lauderdale, FL, CCN 100039

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS 10370FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Southeastern University, Inc CurrentSince Jul 1, 2009 Accepting new patients
Nova Southeastern University, Inc Current Accepting new patients
Nova Southeastern University Inc. CurrentSince Jul 1, 2009 Accepting new patients
Nova Southeastern University, Inc Family Medicine Past Accepting new patients

Locations

3200 S University Dr
Bldg 2ND
Davie, FL 33328
Phone (954) 262-4200

3200 S University Dr
Davie, FL 33328
Phone (954) 262-1250

3200 S University Dr
Fl 1
Davie, FL 33328

650 N Andrews Ave
Ft Lauderdale, FL 33311
Phone (954) 463-4213

8501 SW 124th Ave
Ste 111A
Miami, FL 33183

1750 NE 167th St
North Miami Beach, FL 33162
Phone (305) 949-4000

Organizations & group practices 6

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 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1214697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1275795486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 S UNIVERSITY DR",
            "address_2": "NOVA SOUTHEASTERN UNIV. - HPD",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333282018",
            "telephone_number": "954-262-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 S UNIVERSITY DR",
            "address_2": "NOVA SOUTHEASTERN UNIV. - HPD",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333282018",
            "telephone_number": "954-262-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBER",
        "first_name": "TYE",
        "middle_name": "ED",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-29",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS 10370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://login.intelichart.com/NSUHealthClinics/",
            "affiliation": "N",
            "address_1": "3200 S University Dr",
            "address_2": "Nova Southeastern Univ. - HPD",
            "city": "Davie",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333282018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

Verify at the official NPI Registry.