Individual provider Active NPI

Alexander Javier Bertot, M.D.

  • Orthopaedic Surgery Physician
  • Plantation, FL
National Provider Identifier
1760452007
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME88346 Issued in FL
Practice address
220 SW 84TH Ave Ste 102
Plantation, FL 33324-2729
Phone
(954) 720-1530
Fax
(954) 720-6540
NPI assigned
Jan 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X ME88346 FL Primary

Addresses

Primary practice location

220 SW 84TH Ave Ste 102
Plantation, FL 33324-2729

Mailing address

220 SW 84TH Ave Ste 102
Plantation, FL 33324-2729
Phone (954) 349-2345

Other practice location 1

1600 Town Center Blvd Ste C
Weston, FL 33326-3641
Phone (954) 389-5900

Other identifiers 2

IdentifierTypeStateIssuer
002398700MedicaidFL
002876700OtherFLGROUP MEDICAID

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
I20100611000564 FL Practitioner - Orthopedic Surgery 2769512003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Medical College of Pennsylvania, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sports Medicine Associates of South Florida PAGroup PAC ID 2264418490, 7 clinicians
Rehabclinics Pta IncGroup PAC ID 0547237497, shared by 11 NPIs, 209 clinicians

Practice addresses (Care Compare)

1600 Town Ctr Blvd
Suite C
Weston, FL 33326-3641
Phone (954) 389-5751

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

220 SW 84TH Ave
Suite 102
Plantation, FL 33324-2729
Phone (954) 720-1530

Hospital & facility affiliations

  • Westside Regional Medical Center Hospital, Plantation, FL, CCN 100228
  • Memorial Hospital Miramar Hospital, Miramar, FL, CCN 100285

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME88346FLMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Medicine Associates of South Florida, P.a. Orthopaedic Surgery CurrentSince Mar 1, 2010 Accepting new patients
Foot Ankle & Leg Specialists of South Florida Inc PastSince Apr 15, 2021 Accepting new patients

Locations

220 SW 84th Ave
Ste 102
Plantation, FL 33324
Phone (954) 720-1530

1600 Town Center Blvd
Ste C
Weston, FL 33326
Phone (954) 389-5751

Interoperability endpoints

  • Direct secure messaging: alexanderbertot@smasfpa.allscriptsdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1760452007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 SW 84TH AVE STE 102",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242729",
            "telephone_number": "954-349-2345",
            "fax_number": "954-641-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 SW 84TH AVE STE 102",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242729",
            "telephone_number": "954-720-1530",
            "fax_number": "954-720-6540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Town Center Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "FL",
            "postal_code": "333263641",
            "country_code": "US",
            "telephone_number": "954-389-5900",
            "fax_number": "954-389-5751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERTOT",
        "first_name": "ALEXANDER",
        "middle_name": "JAVIER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME88346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002398700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID",
            "identifier": "002876700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.