Individual provider Active NPI

Alexander Birukoff, FNP-BC

  • Family Nurse Practitioner
  • Fort Lauderdale, FL
National Provider Identifier
1295597664
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11030898 Issued in FL
Practice address
1328 SE 17TH St
Fort Lauderdale, FL 33316-1708
Phone
(754) 777-1333
NPI assigned
Jan 30, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11030898 FL Primary

Addresses

Primary practice location

1328 SE 17TH St
Fort Lauderdale, FL 33316-1708

Mailing address

1328 SE 17TH St
Fort Lauderdale, FL 33316-1708
Phone (754) 777-1333

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240411002226 FL Practitioner - Nurse Practitioner 5496194391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Idandwm LLCGroup PAC ID 4587003488, 2 clinicians

Practice addresses (Care Compare)

1328 SE 17TH St
Fort Lauderdale, FL 33316-1708
Phone (754) 777-1333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11030898FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Instant Medical Care Center Inc CurrentSince Jul 22, 2025 Accepting new patients
Id&WM LLC CurrentSince Apr 1, 2024 Accepting new patients

Locations

1328 SE 17th St
Fort Lauderdale, FL 33316
Phone (754) 777-1333

1324 SE 17th St
Ft Lauderdale, FL 33316
Phone (754) 777-1333

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1295597664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 SE 17TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161708",
            "telephone_number": "754-777-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 SE 17TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161708",
            "telephone_number": "754-777-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRUKOFF",
        "first_name": "ALEXANDER",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-30",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11030898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.