Active NPI
North Broward Hospital District
Doing business as BH Physicians Main
- Cardiovascular Disease Physician
- Fort Lauderdale, FL
National Provider Identifier
1447279302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- NORTH BROWARD HOSPITAL DISTRICT
- Doing business as
- BH Physicians Main
- Practice address
- 1600 S Andrews Ave
Atrium BLDG
Fort Lauderdale, FL 33316-2510 - Phone
- (954) 760-7171
- Fax
- (954) 764-1722
- NPI assigned
- Jul 19, 2006
- Last updated
- May 25, 2021
- Organization subpart
- Yes
- Parent organization
- NORTH BROWARD HOSPITAL DISTRICT
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alexander Fernandez
- Title
- SVP/Cfo
- Phone
- (954) 473-7315
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | NU | Primary |
Addresses
Primary practice location
1600 S Andrews Ave
Atrium BLDG
Fort Lauderdale, FL 33316-2510
Mailing address
1700 NW 49TH St Ste 125
Fort Lauderdale, FL 33309-3750
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00020 | Other | FL | BCBS |
| 263310801 | Medicaid | FL |
Other names 1
- BH Physicians Main
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040405001860 | FL | Part B Supplier - Clinic/Group Practice | 3577472422 |
Receives reassigned benefits from 251 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider Directory- Part of
- N Btroward Hospital Dis
Networks
- HealthSun Health Plans Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621900800000",
"number": "1447279302",
"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": "1600 S ANDREWS AVE",
"address_2": "ATRIUM BLDG",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333162510",
"telephone_number": "954-760-7171",
"fax_number": "954-764-1722"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH BROWARD HOSPITAL DISTRICT",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NORTH BROWARD HOSPITAL DISTRICT",
"enumeration_date": "2006-07-19",
"last_updated": "2021-05-25",
"certification_date": "2021-05-25",
"status": "A",
"authorized_official_last_name": "FERNANDEZ",
"authorized_official_first_name": "ALEXANDER",
"authorized_official_title_or_position": "SVP/CFO",
"authorized_official_telephone_number": "954-473-7315"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "00020",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "263310801",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "BH Physicians Main",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "BH Physicians Main",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Fort Lauderdale, FL
- North Broward Hospital District (BH Physicians Main)
- North Broward Hospital District (BH Physicians Imperial Point)
- North Broward Hospital District
- North Broward Hospital District (BH X-Ray Imaging)
- North Broward Hospital District (BH Physicians Imperial Point)
- North Broward Hospital District (BH Physicians Main)
- North Broward Hospital District (BH Physicians Imperial Point)
- North Broward Hospital District (Broward Health - Diana Hodarnau MD)
- North Broward Hospital District (BH Physicians Main)
- North Broward Hospital District
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.