Broward Health Medical Group

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

BROWARD HEALTH MEDICAL GROUP

Practice address

7539 W Oakland Park Blvd
Tamarac, FL 33319-4909

Phone

(754) 223-2705

Fax

(754) 223-2836

NPI assigned

Jul 20, 2022

Last updated

Jan 17, 2023By 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

Dr. Shanna Stephen, MD

Title

Medical Director

Phone

(754) 223-2705

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673913600000",
    "number": "1568197994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7539 W OAKLAND PARK BLVD STE 41",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333194909",
            "telephone_number": "754-223-2705",
            "fax_number": "754-223-2836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7539 W OAKLAND PARK BLVD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333194909",
            "telephone_number": "754-223-2705",
            "fax_number": "754-223-2836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWARD HEALTH MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-20",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A",
        "authorized_official_last_name": "STEPHEN",
        "authorized_official_first_name": "SHANNA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "754-223-2705",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Maciel Brito
• Stephen R. Brooks Jr., D.C.
• Broward Addiction Medical Center LLC (Broward Medical Center)
• Broward Dental Associates (Dr Dulay & Associates)
• Broward Health Consulting PLLC
• Broward Heart Group P a
• Broward Injury Clinic LLC
• Broward Manual Rehab Inc
• Broward Ophthalmology Group
• Brittany Mae Brown

• Primary Care Clinic/Center in Tamarac, FL
• Providers in Tamarac, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.