Individual provider Active NPI

Bertrand Fabien Ebner, M.D.

  • Interventional Cardiology Physician
  • Hollywood, FL
National Provider Identifier
1780173708
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME171558 Issued in FL
Practice address
7777 Davie Road Ext Ste 100B
Hollywood, FL 33024-2524
Phone
(543) 623-4269
Fax
(954) 362-3432
NPI assigned
May 4, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X ME171558 FL Primary

Addresses

Primary practice location

7777 Davie Road Ext Ste 100B
Hollywood, FL 33024-2524

Mailing address

7777 Davie Road Ext Ste 100B
Hollywood, FL 33024-2524
Phone (543) 623-4269

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
I20250723003413 FL Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 7113433301 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Luis F Tami PAGroup PAC ID 7214026129, 2 clinicians
Memorial Ekg Associates PAGroup PAC ID 9931183191, 32 clinicians
Hollywood Medical Center Ekg Associates PAGroup PAC ID 8628052891, 29 clinicians

Practice addresses (Care Compare)

1150 N 35 Ave
Suite 240
Hollywood, FL 33021-5424
Phone (954) 981-2841

3501 Johnson St
Hollywood, FL 33021-5421
Phone (954) 354-2600

3600 Washington St
Hollywood, FL 33021-8216
Phone (954) 966-4500

703 N Flamingo Rd
Pembroke Pines, FL 33028-1006
Phone (954) 436-5000

7777 Davie Rd Ext
Suite 100B
Hollywood, FL 33024-2524
Phone (954) 362-3426

7800 Sheridan St
Pembroke Pines, FL 33024-2536
Phone (954) 962-9650

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME171558FLMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hollywood Medical Center Ekg Associates PA CurrentSince Jan 1, 2026 Accepting new patients
Luis F Tami PA CurrentSince Jun 1, 2025 Accepting new patients
Memorial Ekg Associates PA CurrentSince Jan 1, 2026 Accepting new patients

Locations

3600 Washington St
Hollywood, FL 33021
Phone (954) 265-4461

1150 N 35th Ave
Ste 240
Hollywood, FL 33021
Phone (954) 362-3426

7777 Davie Road Ext
Ste 100B
Hollywood, FL 33024
Phone (954) 354-2600

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

Organizations & group practices 3

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 3

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": "1525392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1780173708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 DAVIE ROAD EXT STE 100B",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330242524",
            "telephone_number": "543-623-4269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 DAVIE ROAD EXT STE 100B",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330242524",
            "telephone_number": "543-623-4269",
            "fax_number": "954-362-3432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBNER",
        "first_name": "BERTRAND",
        "middle_name": "FABIEN",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-04",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME171558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.