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North Broward Hospital District

Organization Active NPI Hematology & Oncology Physician · Fort Lauderdale, FL

NPI 1528096575 · NPPES record last updated Feb 3, 2026

Key facts

NPI
1528096575
Entity type
Organization (NPI type 2)
Primary specialty
Hematology & Oncology Physician 207RH0003X
Legal business name
NORTH BROWARD HOSPITAL DISTRICT
Practice address
1625 SE 3Rd Ave
Suite 525
Fort Lauderdale, FL 33316-2521
Phone
(954) 355-4975
Fax
(954) 355-5898
NPI assigned
Jun 29, 2006
Organization subpart
Yes
Parent organization (as reported)
NORTH BROWARD HOSPITAL DISTRICT

Authorized official

Name
Krystle Martin
Title
Ambulatory Cfo
Phone
(954) 473-7320

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

  • Scott E Jordan, M.D. Obstetrics & Gynecology Physician · Fort Lauderdale, FL · NPI 1487916649
    NPD

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040405001860 FL Part B Supplier - Clinic/Group Practice 3577472422 Receives reassigned benefits from 251 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

Tax ID family
Robert L Odell MD (140 organizations share this tax ID)
Part of
Robert L Odell MD

Networks

  • HealthSun Health Plans Network

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Internal Medicine) Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RH0000X
Hematology & Oncology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RH0003X Yes
Medical Oncology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RX0202X

Addresses

Primary practice location

1625 SE 3Rd Ave
Suite 525
Fort Lauderdale, FL 33316-2521

Mailing address

1608 SE 3Rd Ave FL 3
Fort Lauderdale, FL 33316-2564
Phone (954) 355-4975

Other identifiers

IdentifierTypeStateIssuer
00020OtherFLBCBS
253794033MedicaidFL

Other names

  • BH Physicians Main Doing business as
  • BHPG MOB 1625 HEM/ONC Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 3, 2026.

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770076800000",
    "number": "1528096575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 SE 3RD AVE FL 3",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162564",
            "telephone_number": "954-355-4975",
            "fax_number": "954-355-5898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 SE 3RD AVE",
            "address_2": "SUITE 525",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162521",
            "telephone_number": "954-355-4975",
            "fax_number": "954-355-5898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BROWARD HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH BROWARD HOSPITAL DISTRICT",
        "enumeration_date": "2006-06-29",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "KRYSTLE",
        "authorized_official_title_or_position": "AMBULATORY CFO",
        "authorized_official_telephone_number": "954-473-7320"
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00020",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253794033",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BH Physicians Main",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BH Physicians Main",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BHPG MOB 1625 HEM/ONC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Lauderdale, FL

All providers in Fort Lauderdale, FL · Hematology & Oncology Physician in Florida

Sources for this page

Verify at the official NPI Registry.