Active NPI
Brandi Martin
- Advanced Practice Midwife
- Fort Lauderdale, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- APRN11033036
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| L-301930 | MD | MD | Lactation Consultant (Registered Nurse) |
| APRN11033036 | FL | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitalmd Group Holding LLC | Current | 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.
-
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- Miami, FL
- NPI 1871572032
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.