Active NPI
North Broward Hospital District
- Pediatric Endocrinology Physician
- Weston, FL
National Provider Identifier
1760076343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Endocrinology Physician
- Legal business name
- NORTH BROWARD HOSPITAL DISTRICT
- Practice address
- 2300 N Commerce Pkwy Ste 113
Weston, FL 33326-3255 - Phone
- (954) 217-3171
- Fax
- (954) 217-3176
- NPI assigned
- Feb 24, 2021
- Organization subpart
- Yes
- Parent organization
- NORTH BROWARD HOSPITAL DISTRICT
Authorized official
NPPES NPI Registry- Name
- Mr. Alisa Bert
- Title
- Interim Cfo
- Phone
- (954) 847-4117
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Fort Lauderdale, FL
- NPI 1619284940
Internal Medicine
-
- Metabolic Nutrition Registered Dietitian
- Weston, FL
- NPI 1467901397
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
- Robert L Odell MD
Locations
5353 N Federal Hwy
Ste 300
Fort Lauderdale, FL 33308
Phone (954) 800-8877
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Endocrinology Physician | 2080P0205X | Primary | ||
| Pediatric Gastroenterology Physician | 2080P0206X |
Addresses
NPPES NPI RegistryPrimary practice location
2300 N Commerce Pkwy Ste 113
Weston, FL 33326-3255
Mailing address
1700 NW 49TH St Ste 125
Fort Lauderdale, FL 33309-3750
Phone (954) 217-5720
Other names 2
NPPES NPI Registry- BHPG WESTON PHYS 113
- BHPG Weston Physician Office 6
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 17, 2024.
{
"created_epoch": "1614124800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729123200000",
"number": "1760076343",
"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": "954-217-5720",
"fax_number": "954-217-6110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 N COMMERCE PKWY STE 113",
"city": "WESTON",
"state": "FL",
"postal_code": "333263255",
"telephone_number": "954-217-3171",
"fax_number": "954-217-3176"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH BROWARD HOSPITAL DISTRICT",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NORTH BROWARD HOSPITAL DISTRICT",
"enumeration_date": "2021-02-24",
"last_updated": "2024-10-17",
"certification_date": "2024-10-17",
"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",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2080P0205X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Endocrinology",
"state": null,
"license": null,
"primary": true
},
{
"code": "2080P0206X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BHPG WESTON PHYS 113",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "BHPG Weston Physician Office 6",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "BHPG Weston Physician Office 6",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Weston, FL
- North Broward Hospital District
- North Broward Hospital District
- North Broward Hospital District
- North Broward Hospital District
- North Broward Hospital District
- North Broward Hospital District
- North Broward Hospital District
- North Broward Hospital District
- North Broward Hospital District
- Katherine Novak-Selby, ARNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.