Katina Yolanda Brown-Burgess, D.O.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

OS11490 Issued in FL

Practice address

1625 SE 3Rd Ave
Suite 400
Fort Lauderdale, FL 33316-2521

Phone

(954) 832-0055

NPI assigned

Oct 6, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Obstetrics/GynecologyAlso: General Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Broward Hospital DistrictGroup PAC ID 3577472422, 192 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• North Broward Hospital District

  dba BH Physicians North

  • Neurological Surgery Physician
  • Fort Lauderdale, FL
  • NPI 1801581129
  Medicare reassignment Care Compare group NPD
• Nova Southeastern University, Inc

  • Optometrist
  • Fort Lauderdale, FL
  • NPI 1700924511
  Medicare reassignment NPD
• North Broward Hospital District

  • Obstetrics & Gynecology Physician
  • Lauderdale Lakes, FL
  • NPI 1730946609
  NPD
• Nova Southeastern University Inc.

  • Clinical Medical Laboratory
  • Fort Lauderdale, FL
  • NPI 1770533390
  NPD
• Nova Southeastern University, Inc

  • Optometrist
  • Davie, FL
  • NPI 1588802169
  NPD
• Nova Southeastern University, Inc

  • Family Medicine Physician
  • Davie, FL
  • NPI 1447345517

  Obstetrics & Gynecology

  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478131200000",
    "number": "1356438675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 SE 3RD AVE",
            "address_2": "SUITE 400",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162521",
            "telephone_number": "954-832-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 SE 3RD AVE",
            "address_2": "SUITE 400",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162521",
            "telephone_number": "954-832-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN-BURGESS",
        "first_name": "KATINA",
        "middle_name": "YOLANDA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2016-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "OS11490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005972100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Broward Surgical Associates, Inc.
• Broward Urgent Care Inc.
• Jessica Browder, MD
• Karen Brown Samuels
• Janice Brown Wharwood
• Adrianna N Brown, LMHC
• Arlene Brown, LMFT
• Brock Kade Brown, M.S.W.
• Carey Brown
• Daniel Nathan Brown, P.A.-C.

• Obstetrics & Gynecology Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Obstetrics & Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; 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.

Verify at the official NPI Registry.