Individual provider Active NPI

Irving M. Bratt, M.D.

  • Family Medicine Physician
  • Oakland Park, FL
National Provider Identifier
1669461687
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
034937 Issued in FL
Practice address
3101 N Federal Hwy Ste 610
Oakland Park, FL 33306-1044
Phone
(954) 565-9966
Fax
(954) 565-0535
NPI assigned
Oct 21, 2005
Last updated
Sep 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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 034937 FL Primary

Addresses

Primary practice location

3101 N Federal Hwy Ste 610
Oakland Park, FL 33306-1044

Mailing address

3101 N Federal Hwy Ste 610
Oakland Park, FL 33306-1044
Phone (954) 565-9966

Other identifiers 1

IdentifierTypeStateIssuer
065813800MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101129000774 FL Practitioner - Family Practice 6103019534 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rehabclinics Pta IncGroup PAC ID 0547237497, shared by 11 NPIs, 209 clinicians

Practice addresses (Care Compare)

1817 E Commercial Blvd
Ft Lauderdale, FL 33308-3767
Phone (954) 836-8980

3101 N Federal Hwy
Suite 610
Oakland Park, FL 33306-1044
Phone (954) 565-9966

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
034937FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oakland Park Family Medicine, LLC Family Medicine CurrentSince Oct 1, 2022 Accepting new patients

Locations

1555 E Oakland Park Blvd
Oakland Park, FL 33334
Phone (954) 290-0170

3101 N Federal Hwy
Ste 610
Oakland Park, FL 33306
Phone (954) 565-9966

Organizations & group practices 2

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 7

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": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1669461687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 N FEDERAL HWY STE 610",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333061044",
            "telephone_number": "954-565-9966",
            "fax_number": "954-565-0535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 N FEDERAL HWY STE 610",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333061044",
            "telephone_number": "954-565-9966",
            "fax_number": "954-565-0535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRATT",
        "first_name": "IRVING",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "034937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "065813800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland Park, FL

Sources for this page

Verify at the official NPI Registry.