Bro Roc, LLC

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

Legal business name

BRO ROC, LLC

Doing business as

Perennial Medical Group

Practice address

1809 NE 59TH St
Fort Lauderdale, FL 33308-2443

Phone

(754) 366-7735

NPI assigned

Mar 21, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Wesley Paul

Title

Founder

Phone

(754) 366-7735

Specialties & licenses 1

Addresses

Other names 1

• Perennial Medical Group Doing business as

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Broroc, LLC

  • General Practice Physician
  • Fort Lauderdale, FL
  • NPI 1548897689
  NPPES parent name

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

{
    "created_epoch": "1584748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585008000000",
    "number": "1609402619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 NE 59TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333082443",
            "telephone_number": "754-366-7735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 NE 59TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333082443",
            "telephone_number": "754-366-7735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRO ROC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-21",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "754-366-7735",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perennial Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carla Brinkerhoff Lopez, LMHC
• Stephanie Renee Briscoe
• Sherry Lynn Britton-Susino, RN
• Matthew E. Britton
• Manda Lane Brittsan, PT
• Alice Rodriguez Brockwell, ARNP-BC
• Richard Frederic Brohammer, M.D.
• Broken Cycle
• Gregg Robert Bromberg, LMT
• Meredith Ashley Brook, PHARM.D.

• Public Health & General Preventive Medicine Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Public Health & General Preventive Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; 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.