Active NPI
Broward Primary Care LLC
- Internal Medicine Physician
- Pembroke Pines, FL
National Provider Identifier
1295069409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- BROWARD PRIMARY CARE LLC
- Practice address
- 320 S Flamingo Rd
Suite 358
Pembroke Pines, FL 33027-1770 - Phone
- (954) 436-6660
- Fax
- (954) 436-6655
- NPI assigned
- Sep 22, 2009
- Last updated
- Sep 22, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mian Ahmed Hasan, MD
- Title
- MGR
- Phone
- (954) 436-6660
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
320 S Flamingo Rd
Suite 358
Pembroke Pines, FL 33027-1770
Mailing address
320 S Flamingo Rd
Suite 358
Pembroke Pines, FL 33027-1770
Phone (954) 436-6660
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Cardiovascular Disease Physician
- Pembroke Pines, FL
- NPI 1366407868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1253577600000",
"number": "1295069409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 S FLAMINGO RD",
"address_2": "SUITE 358",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330271770",
"telephone_number": "954-436-6660",
"fax_number": "954-436-6655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 S FLAMINGO RD",
"address_2": "SUITE 358",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330271770",
"telephone_number": "954-436-6660",
"fax_number": "954-436-6655"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROWARD PRIMARY CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-22",
"last_updated": "2009-09-22",
"status": "A",
"authorized_official_last_name": "HASAN",
"authorized_official_first_name": "MIAN",
"authorized_official_middle_name": "AHMED",
"authorized_official_title_or_position": "MGR",
"authorized_official_telephone_number": "954-436-6660",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
- Broward Home Health Care, Inc.
- Broward Institute of Orthopaedic Specialties LLC
- Broward Institute of Orthopaedic Specialties LLC
- Broward Medical Physician Associates Inc
- Broward Oral Surgery PA
- Broward Psychological Services
- Broward Psychological Services, Inc.
- Broward Senior Home Care
- Broward Surgical Center Inc
- Broward Urology LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.