Organization Active NPI

Broward Medical Associates of South Florida,Inc

  • General Practice Physician
  • Plantation, FL
National Provider Identifier
1568619880
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME40710 Issued in FL
Legal business name
BROWARD MEDICAL ASSOCIATES OF SOUTH FLORIDA,INC
Practice address
7390 NW 5TH St
Suite 3
Plantation, FL 33317-1610
Phone
(954) 424-9300
Fax
(954) 424-3315
NPI assigned
Aug 19, 2008
Last updated
Feb 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

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

Authorized official

Name
Dr. Michael Rudolf Alexander, M.D.NPI 1467440842
Title
Director
Phone
(954) 424-9300

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)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME40710 FL Primary

Addresses

Primary practice location

7390 NW 5TH St
Suite 3
Plantation, FL 33317-1610

Mailing address

7390 NW 5TH St
Suite 3
Plantation, FL 33317-1610
Phone (954) 424-9300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090326000428 FL Part B Supplier - Clinic/Group Practice 3678630290 Receives reassigned benefits from 4 practitioners
Practice locations: Plantation, FL

National Provider Directory

National Provider Directory

Locations

7390 NW 5th St
Ste 3
Plantation, FL 33317
Phone (954) 424-9300

3511 NW 8th Ave
Ste 1
Pompano Beach, FL 33064

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.

NPI Registry JSON

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580947200000",
    "number": "1568619880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7390 NW 5TH ST",
            "address_2": "SUITE 3",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333171610",
            "telephone_number": "954-424-9300",
            "fax_number": "954-424-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7390 NW 5TH ST",
            "address_2": "SUITE 3",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333171610",
            "telephone_number": "954-424-9300",
            "fax_number": "954-424-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWARD MEDICAL ASSOCIATES OF SOUTH FLORIDA,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "RUDOLF",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "954-424-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME40710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; 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.

Verify at the official NPI Registry.