NPIMap

Individual provider Active NPI

Brian Scott Raitzin, MD

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1568968360
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME168294 Issued in FL
Practice address
175 SW 7TH St Ste 1511
Miami, FL 33130-2955
Phone
(305) 454-5946
Fax
(305) 433-3855
NPI assigned
Apr 2, 2018
Last updated
Apr 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME168294 FL Primary

Addresses

Primary practice location

175 SW 7TH St Ste 1511
Miami, FL 33130-2955

Mailing address

3868 Sheridan St Ste a
Hollywood, FL 33021-3623
Phone (954) 962-2309

Other identifiers 1

IdentifierTypeStateIssuer
124320000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241028002502 FL Practitioner - Family Practice 7012266257 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
South Broward Hospital DistrictGroup PAC ID 8123927373, shared by 55 NPIs, 659 clinicians
Gilbert Medical Group IncGroup PAC ID 9931359965, 3 clinicians

Practice addresses (Care Compare)

3341 Johnson St
Hollywood, FL 33021-5419

3868 Sheridan St
Suite a
Hollywood, FL 33021-3623
Phone (954) 962-2309

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
South Broward Hospital District CurrentSince Oct 1, 2024 Accepting new patients
South Broward Hospital District CurrentSince Oct 1, 2024 Accepting new patients
South Broward Hospital District Current Accepting new patients
South Broward Hospital District Family Medicine CurrentSince Oct 1, 2024 Accepting new patients
Gilbert Medical Group Inc Past Accepting new patients
South Broward Hospital District Past Accepting new patients

Locations

3341 Johnson St
Hollywood, FL 33021
Phone (954) 265-3982

2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

Organizations & group practices 6

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1568968360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3868 SHERIDAN ST STE A",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213623",
            "telephone_number": "954-962-2309",
            "fax_number": "954-842-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 SW 7TH ST STE 1511",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331302955",
            "telephone_number": "305-454-5946",
            "fax_number": "305-433-3855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAITZIN",
        "first_name": "BRIAN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-02",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME168294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124320000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.