Active NPI
Brandy Michelle Hall
- Health Educator
- Tamarac, FL
National Provider Identifier
1750135240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- License
- RPT102344
- Practice address
- 3850 W Commercial Blvd Ste B
Tamarac, FL 33309-3316 - Phone
- (954) 766-4090
- Fax
- (954) 775-3747
- NPI assigned
- Apr 12, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | RPT102344 | FL | Primary |
Addresses
Primary practice location
3850 W Commercial Blvd Ste B
Tamarac, FL 33309-3316
Mailing address
3850 W Commercial Blvd Ste B
Tamarac, FL 33309-3316
Phone (954) 766-4090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPT102344 | FL | MD | Health Educator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712880000000",
"number": "1750135240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3850 W COMMERCIAL BLVD STE B",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333093316",
"telephone_number": "954-766-4090",
"fax_number": "954-775-3747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3850 W COMMERCIAL BLVD STE B",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333093316",
"telephone_number": "954-766-4090",
"fax_number": "954-775-3747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "BRANDY",
"middle_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-12",
"last_updated": "2024-04-12",
"certification_date": "2024-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "FL",
"license": "RPT102344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tamarac, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.