Active NPI
North Broward Hospital District
Doing business as BH Physicians Imperial Point
- Endocrinology, Diabetes & Metabolism Physician
- Fort Lauderdale, FL
National Provider Identifier
1619905668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- Legal business name
- NORTH BROWARD HOSPITAL DISTRICT
- Doing business as
- BH Physicians Imperial Point
- Practice address
- 6405 N Federal Hwy
Suite 300
Fort Lauderdale, FL 33308-1412 - Phone
- (954) 958-5220
- Fax
- (954) 528-5218
- NPI assigned
- Jun 29, 2006
- Last updated
- Apr 1, 2024
- Organization subpart
- Yes
- Parent organization
- NORTH BROWARD HOSPITAL DISTRICT
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alisa Bert
- Title
- Interim Cfo
- Phone
- (954) 847-4117
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | NU | Primary |
Addresses
Primary practice location
6405 N Federal Hwy
Suite 300
Fort Lauderdale, FL 33308-1412
Mailing address
1700 NW 49TH St Ste 125
Fort Lauderdale, FL 33309-3750
Phone (954) 771-7294
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00020 | Other | FL | BCBS |
| 253794018 | Medicaid | FL |
Other names 1
- BH Physicians Imperial Point
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
National Provider Directory- Part of
- N Btroward Hospital Dis
Networks
- HealthSun Health Plans Network
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Nurse Practitioner
- Fort Lauderdale, FL
- NPI 1912301599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711929600000",
"number": "1619905668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 NW 49TH ST STE 125",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333093750",
"telephone_number": "954-771-7294",
"fax_number": "954-776-8956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6405 N FEDERAL HWY",
"address_2": "SUITE 300",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333081412",
"telephone_number": "954-958-5220",
"fax_number": "954-528-5218"
}
],
"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": "2024-04-01",
"certification_date": "2024-04-01",
"status": "A",
"authorized_official_last_name": "BERT",
"authorized_official_first_name": "ALISA",
"authorized_official_title_or_position": "INTERIM CFO",
"authorized_official_telephone_number": "954-847-4117"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "00020",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "253794018",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "BH Physicians Imperial Point",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "BH Physicians Imperial Point",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Lauderdale, FL
- North Broward Hospital District (BH Physicians Imperial Point)
- North Broward Hospital District (Broward Health Imperial Point - Psych)
- North Broward Hospital District (Broward Health Medical Center - Psych)
- North Broward Hospital District
- North Broward Hospital District (Broward Health - BG Cancer Ctr Social Svcs)
- North Broward Hospital District (BG Lactation Center)
- North Broward Hospital District (BH Physicians Main)
- North Broward Hospital District (BH Physicians Main)
- North Broward Hospital District (BGMC Behavioral Health)
- North Broward Hospital District (BH Physicians Main)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.