Organization Active NPI

West Broward Rheumatology Associates, Inc

  • Rheumatology Physician
  • Tamarac, FL
National Provider Identifier
1407889207
Registry record updated Feb 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
WEST BROWARD RHEUMATOLOGY ASSOCIATES, INC
Practice address
7431 N University Dr
300
Tamarac, FL 33321-2956
Phone
(954) 724-5560
Fax
(954) 724-5563
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2011

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

Authorized official

Name
Mrs. Barbara E Tupper
Title
Office Manager
Phone
(954) 724-5560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X FL Primary

Addresses

Primary practice location

7431 N University Dr
300
Tamarac, FL 33321-2956

Mailing address

7431 N University Dr
300
Tamarac, FL 33321-2956
Phone (954) 724-5560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101011000585 FL Part B Supplier - Clinic/Group Practice 0547452427 Receives reassigned benefits from 4 practitioners
Practice locations: Tamarac, FL

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
10D0920955West Broward Rheumatology Associates7431 N University Dr #300, Tamarac, FL 33321Certificate of waiverMar 25, 2028

National Provider Directory

National Provider Directory

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297209600000",
    "number": "1407889207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7431 N UNIVERSITY DR",
            "address_2": "300",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212956",
            "telephone_number": "954-724-5560",
            "fax_number": "954-724-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7431 N UNIVERSITY DR",
            "address_2": "300",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212956",
            "telephone_number": "954-724-5560",
            "fax_number": "954-724-5563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST BROWARD RHEUMATOLOGY ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2011-02-09",
        "status": "A",
        "authorized_official_last_name": "TUPPER",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "954-724-5560",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.