Broward Medical & Urgent Care Inc

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

ME13408 Issued in FL

Legal business name

BROWARD MEDICAL & URGENT CARE INC

Practice address

103 SE 20TH St
Ft Lauderdale, FL 33316-2846

Phone

(954) 462-7558

Fax

(954) 525-5820

NPI assigned

May 11, 2007

Last updated

Jul 15, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Martin M Roche, MDNPI 1164513958

Title

Medical Director

Phone

(954) 462-7558

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

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.

• Martin M. Roche Sr., M.D.

  • Specialist
  • Fort Lauderdale, FL
  • NPI 1164513958
  Medicare reassignment Care Compare group NPD Authorized official
• James N Luckett, MD

  • Internal Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1114938495
  Medicare reassignment Care Compare group NPD
• Seth Jeremy Marquit, M.D., M.P.H

  • Emergency Medicine Physician
  • Miami, FL
  • NPI 1588694798
  Medicare reassignment NPD
• Chau Nguyen, M.D.

  • General Practice Physician
  • Fort Lauderdale, FL
  • NPI 1578976692
  Medicare reassignment NPD

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405382400000",
    "number": "1447465547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 SE 20TH ST",
            "address_2": "SUITE 100",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162846",
            "telephone_number": "954-462-7558",
            "fax_number": "954-525-5820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 SE 20TH ST",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162846",
            "telephone_number": "954-462-7558",
            "fax_number": "954-525-5820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWARD MEDICAL & URGENT CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2014-07-15",
        "status": "A",
        "authorized_official_last_name": "ROCHE",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "954-462-7558",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "FL",
            "license": "ME13408",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME13408",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "06962",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN MEDICARE",
            "identifier": "AD067Y",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Broward House, Inc.
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• Broward Institute of Orthopaedic Specialties,LLC
• Broward Kidney Consultants
• Broward Lifecare, LLC (BrightStar of Fort Lauderdale)
• Broward Medical Care Associates Inc
• Broward Medical Center of Davie Inc
• Broward Medical Group LLC
• Broward Multispecialty Group LLC
• Broward Nursing & Rehabilitation Center,LLC

• Urgent Care Clinic/Center in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Urgent Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; 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.

Verify at the official NPI Registry.