Organization Active NPI

Lise D. Brown, DO, PA

  • Internal Medicine Physician
  • Fort Lauderdale, FL
National Provider Identifier
1750589537
Registry record updated Dec 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS9720 Issued in FL
Legal business name
LISE D. BROWN, DO, PA
Practice address
3101 N Federal Hwy
Suite 201
Fort Lauderdale, FL 33306-1018
Phone
(954) 318-3386
NPI assigned
Jul 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2014

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

Authorized official

Name
Dr. Lise D Brown, D.O.
Title
Physician
Phone
(954) 318-3386

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X OS9720 FL Primary

Addresses

Primary practice location

3101 N Federal Hwy
Suite 201
Fort Lauderdale, FL 33306-1018

Mailing address

3101 N Federal Hwy
Suite 201
Fort Lauderdale, FL 33306-1018
Phone (954) 318-3386

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419206400000",
    "number": "1750589537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 N FEDERAL HWY",
            "address_2": "SUITE 201",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061018",
            "telephone_number": "954-318-3386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 N FEDERAL HWY",
            "address_2": "SUITE 201",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061018",
            "telephone_number": "954-318-3386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISE D. BROWN, DO, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2014-12-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "LISE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "954-318-3386",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS9720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.