North Broward Hospital District
Organization Active NPI Radiology Clinic/Center · Weston, FL
NPI 1831135565 · NPPES record last updated Apr 1, 2024
Key facts
- NPI
- 1831135565
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Radiology Clinic/Center 261QR0200X
- License
- JR 37121000 (FL)
- Legal business name
- NORTH BROWARD HOSPITAL DISTRICT
- Practice address
- 2300 N Commerce Pkwy Ste 101
Weston, FL 33326-3255 - Phone
- (954) 217-3305
- Fax
- (954) 217-5778
- NPI assigned
- Jun 21, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- NORTH BROWARD HOSPITAL DISTRICT
Authorized official
- Name
- Alisa Bert
- Title
- Interim Cfo
- Phone
- (954) 847-4117
Owned or controlled facilities with NPI records 11
Other NPIs on the same Medicare enrollment 2
Other NPIs with the same Medicare PAC ID 24
Corporate family (same tax ID) 24
Practitioners 192
-
Alia Abdulla, DO
-
Geddis Abel-Bey Jr., M.D.
-
Celso Agner, M.D., MSC
-
Sajive Aleyas, M.D.
-
Melissa Armas, D.O.
-
Arlene N Barrett, APRN
-
Natan Bastoky, DO
-
Ruth Beaufosse, APRN
-
Ahmed Soliman Behairy, M.D.
-
Jill Marie Bilek, MD
-
Simon Blanc, M.D.
-
Arnoux Blanchard, M.D
-
Jeffrey D Blum, MD
-
Celena Bodie, APRN
-
Michael Bolanos, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
All facility ownership & control disclosures 9
| Facility | Type | Role | Since |
|---|---|---|---|
| Broward Health North |
Hospital | Operational/Managerial Control | May 14, 2008 |
| Broward Health Imperial Point |
Hospital | 5% Or Greater Direct Ownership Interest Operational/Managerial Control |
Jan 1, 1984 Jan 1, 1984 |
| Broward Health Medical Center-Psych Unit |
Hospital | Operational/Managerial Control | Jul 1, 2007 |
| Broward Health Coral Springs |
Hospital | Operational/Managerial Control (100%) | Mar 17, 1987 |
| Broward Health Imperial Point-Psych Unit |
Hospital | Operational/Managerial Control (100%) | Jul 1, 1984 |
| Broward Health North- Rehab Unit |
Hospital | Operational/Managerial Control | May 13, 2008 |
| Pompano Adult Primary Care |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jul 1, 1993 Oct 1, 1993 |
| Specialty Care Center |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jul 1, 1993 Jul 1, 1993 |
| Margate Health Center |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jul 1, 1993 Oct 1, 1993 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040102000216 | FL | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 3577472422 |
2 other NPIs on this enrollment Practice locations: Weston, FL |
National Provider Directory
- Tax ID family
- Robert L Odell MD
- Part of
- Robert L Odell MD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | JR 37121000 | FL | Yes |
| Mammography Clinic/Center | 261QR0206X | JR 37120000 | FL | |
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X | 10428 | FL |
Addresses
Primary practice location
2300 N Commerce Pkwy Ste 101
Weston, FL 33326-3255
Mailing address
1700 NW 49TH St Ste 125
Fort Lauderdale, FL 33309-3763
Phone (954) 217-3305
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| V004E | Other | FL | BCBS OF FL |
| V2447 | Other | FL | BCBS OF FL |
Other names
- BHW Diagnostic
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
- Katherine Novak-Selby
- Gian M Novaro
- Nsi Broward LLC
- Nula Medical Management II, LLC
- Nula Medical Management, LLC
All providers in Weston, FL · Radiology Clinic/Center in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.