Active NPI
Sawgrass Hospitalist PA
- Hospitalist Physician
- Hollywood, FL
National Provider Identifier
1447595194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- Legal business name
- SAWGRASS HOSPITALIST PA
- Practice address
- 3501 Johnson St
Hollywood, FL 33021-5421 - Phone
- (954) 987-2000
- Fax
- (954) 964-6084
- NPI assigned
- Dec 6, 2012
- Last updated
- Dec 6, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rafael Segundo Briceno, M.D.
- Title
- President
- Phone
- (610) 331-0782
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | NU | Primary |
Addresses
Primary practice location
3501 Johnson St
Hollywood, FL 33021-5421
Mailing address
3093 NW 126TH Ave
Sunrise, FL 33323-6342
Phone (610) 331-0782
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3363 Sheridan St
Ste 207
Hollywood, FL 33021
Phone (954) 962-9650
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Family Medicine Physician
- Hollywood, FL
- NPI 1174670863
-
- Internal Medicine Physician
- Hollywood, FL
- NPI 1902057243
-
- Internal Medicine Physician
- Sunrise, FL
- NPI 1902884307
-
- Certified Registered Nurse Anesthetist
- Sunrise, FL
- NPI 1275509887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354752000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1354752000000",
"number": "1447595194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3093 NW 126TH AVE",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333236342",
"telephone_number": "610-331-0782",
"fax_number": "954-964-6084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 JOHNSON ST",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330215421",
"telephone_number": "954-987-2000",
"fax_number": "954-964-6084"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAWGRASS HOSPITALIST PA",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-06",
"last_updated": "2012-12-06",
"status": "A",
"authorized_official_last_name": "BRICENO",
"authorized_official_first_name": "RAFAEL",
"authorized_official_middle_name": "SEGUNDO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "610-331-0782",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; 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.