NPIMap

Organization Active NPI

North Broward Hospital District

Doing business as Broward Health Lighthouse Point ER

  • General Acute Care Hospital
  • Pompano Beach, FL
National Provider Identifier
1376571323
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
4020 Issued in FL
Legal business name
NORTH BROWARD HOSPITAL DISTRICT
Doing business as
Broward Health Lighthouse Point ER
Broward Health North
Practice address
201 E Sample Rd
Pompano Beach, FL 33064-3502
Phone
(954) 941-8300
Fax
(954) 847-4245
NPI assigned
Jun 29, 2006
Last updated
Jun 4, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTH BROWARD HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Authorized official

Name
Alisa Bert
Title
Interim Cfo
Phone
(954) 473-7483

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 4020 FL Primary

Addresses

Primary practice location

201 E Sample Rd
Pompano Beach, FL 33064-3502

Mailing address

1700 NW 49TH St Ste 125
Fort Lauderdale, FL 33309-3750

Other practice location 1

5360 N Federal Hwy
Lighthouse Point, FL 33064-7068
Phone (954) 786-6950

Other identifiers 2

IdentifierTypeStateIssuer
247OtherFLBCBS OF FL
010021800MedicaidFL

Other names 2

  • Broward Health Lighthouse Point ER Doing business as
  • Broward Health North Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041009000007 FL Part A Provider - Hospital 3577472422 1 other NPI on this enrollment
Practice locations: Deerfield Beach, FL; Lighthouse Point, FL
O20220207001631 FL Part B Supplier - Clinic/Group Practice 7315330776 Receives reassigned benefits from 6 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Boca Raton, FL; Tamarac, FL; Naples, FL; Bonita Springs, FL; Margate, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376571323. Details of each certification follow.

Hospital certification: CCN 100086

Legal name
NORTH BROWARD HOSPITAL DISTRICT
Doing business as
BROWARD HEALTH NORTH
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jul 28, 1992
Beds
409
Ownership / control type
Hospital district or authority
Organization structure
GovernmentNon-profit
Enrollment address
201 E Sample Rd
Deerfield Beach, FL 33064-3502
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 24

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 24

Other NPIs on the same Medicare enrollment 13

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 13

Care Compare: Hospital

Medicare Care Compare
Listed as
Broward Health NorthCCN 100086 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0278979Broward Health North Clinical Laboratory201 E Sample Rd, Deerfield Beach, FL 33064AccreditationMar 14, 2027

National Provider Directory

National Provider Directory
Part of
Lauderdale Medical Grou

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • HealthSun Health Plans Network

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Stuart M Glassberg Individual W-2 Managing EmployeeManager, Third Party Reimburseme Jun 25, 2010
Nancy Gregoire Individual Corporate OfficerBoard of Commissioners Dec 1, 2017
Michael a Cornehls Individual Corporate OfficerCfo Feb 24, 2025
Corporate DirectorCfo Feb 24, 2025
Operational/Managerial ControlCfo Feb 24, 2025
Stacy Angier Individual Corporate OfficerBoard of Commissioners Member Oct 19, 2018
Jennifer B Nicole Individual Corporate OfficerBoard Member Jun 9, 2025
Corporate DirectorBoard Member Jun 9, 2025
Operational/Managerial ControlBoard Member Jun 9, 2025
North Broward Hospital District Organization, Ft Lauderdale, FL Operational/Managerial Control May 14, 2008
Matthew K Garner Individual Corporate OfficerCeo Aug 29, 2022
Corporate DirectorCeo Aug 29, 2022
Operational/Managerial ControlCeo Aug 29, 2022
Paul C. Tanner Individual Corporate OfficerBoard Commissioner Chairman May 20, 2022
Corporate DirectorBoard Commissioner Chairman May 20, 2022
Operational/Managerial ControlBoard Commissioner Chairman May 25, 2022
Ray Berry Individual Corporate OfficerBoard Member May 11, 2018
Shane Strum Individual Corporate OfficerCeo Mar 29, 2021
Corporate DirectorCeo Mar 29, 2021
Operational/Managerial ControlCeo Mar 26, 2021
Christopher Pernicano Individual Corporate OfficerBoard Member Apr 2, 2021
Jonathan Hage Individual Corporate OfficerBoard Member Apr 2, 2021
Alisa Bert Individual Corporate OfficerCfo Mar 3, 2023
Corporate DirectorCfo Mar 3, 2023
Operational/Managerial ControlCfo Mar 3, 2023

Owners & managing parties with NPI records 24

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 24

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Broward Health Imperial PointFort Lauderdale, FL, CCN 100200 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Jan 1, 1984
Jan 1, 1984
Broward Health Medical Center-Psych UnitFort Lauderdale, FL, CCN 10S039 Hospital Operational/Managerial Control Jul 1, 2007
Broward Health Coral SpringsCoral Springs, FL, CCN 100276 Hospital Operational/Managerial Control (100%) Mar 17, 1987
Broward Health Imperial Point-Psych UnitFort Lauderdale, FL, CCN 10S200 Hospital Operational/Managerial Control (100%) Jul 1, 1984
Broward Health North- Rehab UnitDeerfield Beach, FL, CCN 10T086 Hospital Operational/Managerial Control May 13, 2008
Pompano Adult Primary CarePompano Beach, FL, CCN 101840 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jul 1, 1993
Oct 1, 1993
Specialty Care CenterFort Lauderdale, FL, CCN 101841 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jul 1, 1993
Jul 1, 1993
Margate Health CenterMargate, FL, CCN 681892 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jul 1, 1993
Oct 1, 1993

Owned or controlled facilities with NPI records 10

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 8

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 390

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 390

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780531200000",
    "number": "1376571323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 NW 49TH ST STE 125",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E SAMPLE RD",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330643502",
            "telephone_number": "954-941-8300",
            "fax_number": "954-847-4245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5360 N Federal Hwy",
            "address_purpose": "LOCATION",
            "city": "Lighthouse Point",
            "state": "FL",
            "postal_code": "330647068",
            "country_code": "US",
            "telephone_number": "954-786-6950",
            "fax_number": "954-786-5174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTH BROWARD HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH BROWARD HOSPITAL DISTRICT",
        "enumeration_date": "2006-06-29",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A",
        "authorized_official_last_name": "BERT",
        "authorized_official_first_name": "ALISA",
        "authorized_official_title_or_position": "INTERIM CFO",
        "authorized_official_telephone_number": "954-473-7483"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "FL",
            "license": "4020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "247",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010021800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broward Health Lighthouse Point ER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Broward Health North",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Broward Health North",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pompano Beach, FL

Sources for this page

Verify at the official NPI Registry.