Active NPI
North Broward Hospital District
Doing business as Bh Physicians Coral Springs
- Family Medicine Physician
- Margate, FL
National Provider Identifier
1649410077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- NORTH BROWARD HOSPITAL DISTRICT
- Doing business as
- Bh Physicians Coral Springs
- Practice address
- 5430 W Sample Rd
Margate, FL 33073-3453 - Phone
- (954) 320-3303
- Fax
- (954) 971-0060
- NPI assigned
- Feb 25, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | NU | ||
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
5430 W Sample Rd
Margate, FL 33073-3453
Mailing address
1700 NW 49TH St Ste 125
Fort Lauderdale, FL 33309-3750
Phone (954) 320-3303
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 253794027 | Medicaid | FL | |
| 00020 | Other | FL | BCBS |
Other names 1
- Bh Physicians Coral Springs
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235520000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711929600000",
"number": "1649410077",
"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": "954-320-3303",
"fax_number": "954-971-0060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5430 W SAMPLE RD",
"city": "MARGATE",
"state": "FL",
"postal_code": "330733453",
"telephone_number": "954-320-3303",
"fax_number": "954-971-0060"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH BROWARD HOSPITAL DISTRICT",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NORTH BROWARD HOSPITAL DISTRICT",
"enumeration_date": "2009-02-25",
"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": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "253794027",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "00020",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Bh Physicians Coral Springs",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Margate, FL
- Adriana D Norena, MS-CCC SLP
- Susan Mary Noriega Miller, OTR, CHT
- Norris & Dabul Foot & Ankle, PA (Associated Foot & Ankle)
- North Broward Cardiology PL
- North Broward Hospital District (BH Margate Health Center)
- North Broward Hospital District (RPHC Adult)
- North Lauderdale Pain and Injury Medical Center Inc
- North West Anesthesiologist Group
- Northwest Broward Neurosurgery and Spine LLC
- Northwest Broward Neurosurgery and Spine, LLC
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.