Active NPI
North Broward Hospital District
Doing business as BH Physicians Main
- Gynecologic Oncology Physician
- Fort Lauderdale, FL
National Provider Identifier
1649808916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- Legal business name
- NORTH BROWARD HOSPITAL DISTRICT
- Doing business as
- BH Physicians Main
- Practice address
- 1600 S Andrews Ave Ste 101
Fort Lauderdale, FL 33316-2510 - Phone
- (954) 355-4345
- Fax
- (954) 355-4889
- NPI assigned
- Mar 31, 2020
- 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 |
|---|---|---|---|---|
| Gynecologic Oncology Physician | 207VX0201X | NU | Primary |
Addresses
Primary practice location
1600 S Andrews Ave Ste 101
Fort Lauderdale, FL 33316-2510
Mailing address
1700 NW 49TH St Ste 125
Fort Lauderdale, FL 33309-3750
Phone (954) 355-4345
Other names 1
- BH Physicians Main
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
Locations
1600 S Andrews Ave
Ste 101
Ft Lauderdale, FL 33316
Phone (954) 355-4345
Networks
- HealthSun Health Plans Network
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Hematology & Oncology Physician
- Fort Lauderdale, FL
- NPI 1255683652
-
- Surgical Physician Assistant
- Orlando, FL
- NPI 1356939409
-
- Obstetrics & Gynecology Physician
- Miramar, FL
- NPI 1356543201
-
- Family Nurse Practitioner
- Weston, FL
- NPI 1205276201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585612800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711929600000",
"number": "1649808916",
"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": "954-355-4345",
"fax_number": "954-355-4889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 S ANDREWS AVE STE 101",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333162510",
"telephone_number": "954-355-4345",
"fax_number": "954-355-4889"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH BROWARD HOSPITAL DISTRICT",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NORTH BROWARD HOSPITAL DISTRICT",
"enumeration_date": "2020-03-31",
"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": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BH Physicians Main",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "BH Physicians Main",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Lauderdale, FL
- North Broward Hospital District (BH Physicians Imperial Point)
- 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 (Pediatric Endocrinology)
- North Broward Hospital District (Broward General Medical Center DME)
- North Broward Hospital District (SCC Adult Clinic)
- North Broward Hospital District (Broward Health 7th Avenue Social Services)
- 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.