Individual provider Active NPI

Brandi Martin

  • Advanced Practice Midwife
  • Fort Lauderdale, FL
National Provider Identifier
1447689013
Registry record updated Oct 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APRN11033036 Issued in FL
Practice address
1625 SE 3Rd Ave Ste 502
Fort Lauderdale, FL 33316-2521
Phone
(954) 581-8706
NPI assigned
Nov 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X L-301930 MD
Advanced Practice Midwife 367A00000X APRN11033036 FL Primary

Addresses

Primary practice location

1625 SE 3Rd Ave Ste 502
Fort Lauderdale, FL 33316-2521

Mailing address

5120 SW 131St Ave
Miramar, FL 33027-5531
Phone (773) 574-4875

Other practice location 1

7584 Cherrybark Oak Ln
Elkridge, MD 21075-6584
Phone (773) 574-4875

Other practice location 2

4927 Auburn Ave Ste 100
Bethesda, MD 20814-2641
Phone (301) 970-9817

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260421002385 FL Practitioner - Certified Nurse Midwife (CNM) 5193291698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3225 Aviation Ave
Suite 400
Miami, FL 33133-4785

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L-301930MDMDLactation Consultant (Registered Nurse)
APRN11033036FLMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalmd Group Holding LLC CurrentSince Jul 7, 2026 Accepting new patients

Locations

1625 SE 3rd Ave
Ste 502
Ft Lauderdale, FL 33316
Phone (954) 581-8705

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729987200000",
    "number": "1447689013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 SW 131ST AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330275531",
            "telephone_number": "773-574-4875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 SE 3RD AVE STE 502",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162521",
            "telephone_number": "954-581-8706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7584 Cherrybark Oak Ln",
            "address_purpose": "LOCATION",
            "city": "Elkridge",
            "state": "MD",
            "postal_code": "210756584",
            "country_code": "US",
            "telephone_number": "773-574-4875",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4927 Auburn Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208142641",
            "country_code": "US",
            "telephone_number": "301-970-9817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "BRANDI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-04",
        "last_updated": "2024-10-27",
        "certification_date": "2024-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "MD",
            "license": "L-301930",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "APRN11033036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.