NPIMap

Organization Active NPI

New River Medexpress, PLLC

  • Nurse Practitioner
  • Fort Lauderdale, FL
National Provider Identifier
1447442454
Registry record updated Aug 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
NEW RIVER MEDEXPRESS, PLLC
Practice address
305 S Andrews Ave
Suite 202
Ft Lauderdale, FL 33301-1859
Phone
(954) 355-5110
NPI assigned
Aug 14, 2007
Last updated
Aug 14, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2007

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

Authorized official

Name
Dr. Bertram Walls, MDNPI 1427047158
Title
Owner
Phone
(954) 355-5110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU Primary

Addresses

Primary practice location

305 S Andrews Ave
Suite 202
Ft Lauderdale, FL 33301-1859

Mailing address

305 S Andrews Ave
Suite 202
Ft Lauderdale, FL 33301-1859
Phone (954) 355-5110

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187049600000",
    "number": "1447442454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 S ANDREWS AVE",
            "address_2": "SUITE 202",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333011859",
            "telephone_number": "954-355-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 S ANDREWS AVE",
            "address_2": "SUITE 202",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333011859",
            "telephone_number": "954-355-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW RIVER MEDEXPRESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2007-08-14",
        "status": "A",
        "authorized_official_last_name": "WALLS",
        "authorized_official_first_name": "BERTRAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-355-5110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.