Broward Internal Medicine P a

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS8465 Issued in FL

Legal business name

BROWARD INTERNAL MEDICINE P A

Practice address

8890 W Oakland Park Blvd Ste 203
Sunrise, FL 33351-7224

Phone

(954) 746-5678

Fax

(954) 746-5555

NPI assigned

Jul 7, 2005

Organization subpart

No

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

Authorized official

Name

Soling Li, D.O.NPI 1649233925

Title

President

Phone

(954) 746-5678

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Soling Li, D.O.

  • Internal Medicine Physician
  • Sunrise, FL
  • NPI 1649233925
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316649600000",
    "number": "1821095621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8890 W OAKLAND PARK BLVD STE 203",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517224",
            "telephone_number": "954-746-5678",
            "fax_number": "954-746-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8890 W OAKLAND PARK BLVD STE 203",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517224",
            "telephone_number": "954-746-5678",
            "fax_number": "954-746-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWARD INTERNAL MEDICINE P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2011-09-22",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "SOLING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-746-5678",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS8465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270532000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP IDENTIFICATION NUMBER",
            "identifier": "K6039",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Kristine Brooks, APRN, NNP-BC
• Glenn Brosnick
• Broward Family Dental Care, Inc.
• Broward General Oncology Associates
• Broward Health & Rehab Corporation
• Broward-Palm Beach Home Care Services, Inc.
• Diana Brown Omeally, RN
• Alexia K Brown
• Charlene Renee Brown, MD
• Elizabeth Brown, NP

• Internal Medicine Physician in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.