Individual provider Active NPI

Prangnuan E Durand, DO

  • Internal Medicine Physician
  • Fort Lauderdale, FL
National Provider Identifier
1700847928
Registry record updated Oct 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS7273 Issued in FL
Practice address
3511 N Andrews Ave
Ft Lauderdale, FL 33309
Phone
(954) 564-7666
Fax
(954) 564-8963
NPI assigned
Mar 29, 2006
Last updated
Oct 29, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS7273 FL Primary

Addresses

Primary practice location

3511 N Andrews Ave
Ft Lauderdale, FL 33309

Mailing address

3511 N Andrews Ave
Ft Lauderdale, FL 33309
Phone (954) 564-7666

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
I20110119001178 FL Practitioner - General Practice 8820287600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3511 N Andrews Ave
Oakland Park, FL 33309-5219
Phone (954) 564-7666

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS7273FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prangnuan Durand D.O., P.a. CurrentSince Jan 24, 2010 Accepting new patients

Locations

3511 N Andrews Ave
Oakland Park, FL 33309
Phone (954) 564-7666

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FAGECD/Endpoint/FAGECD

Organizations & group practices 1

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 5

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288310400000",
    "number": "1700847928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3511 N ANDREWS AVE",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "33309",
            "telephone_number": "954-564-7666",
            "fax_number": "954-564-8963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3511 N ANDREWS AVE",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "33309",
            "telephone_number": "954-564-7666",
            "fax_number": "954-564-8963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURAND",
        "first_name": "PRANGNUAN",
        "middle_name": "E",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2010-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS7273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.