Active NPI
Brian Bassem Ibrahim, MD
- Family Medicine Physician
- Hollywood, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME107558
- Practice address
- 3700 Washington St Ste 500a
Hollywood, FL 33021-8256 - Phone
- (954) 989-4700
- Fax
- (954) 989-4754
- NPI assigned
- Jun 29, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME107558 | FL | Primary |
Addresses
Primary practice location
3700 Washington St Ste 500a
Hollywood, FL 33021-8256
Mailing address
3700 Washington St Ste 500a
Hollywood, FL 33021-8256
Phone (954) 647-2326
Other practice location 1
2807 NE 28th St
Fort Lauderdale, FL 33306-1915
Phone (954) 989-4700
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3700 Washington St
Suite 500a
Hollywood, FL 33021-8256
Phone (954) 989-4700
4200 Washington St
Hillcrest Nursing and Rehab
Hollywood, FL 33021-7353
Phone (954) 981-6300
Hospital & facility affiliations
- Atlantic Home Care LLC
- Trilogy Home Healthcare
- Memorial Home Health Services
- Home Care Plus Inc
- Compassionate Caring Home Care, Inc
- Memorial Regional Hospital
- Memorial Hospital Miramar
- Memorial Hospital West
- Memorial Hospital Pembroke
- HCA Florida Aventura Hospital
- Kindred Hospital-South Florida-Ft Lauderdale
- Kindred Hospital South Florida Hollywood
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME107558 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brian B Ibrahim MD PA | Family Medicine | Current | Accepting new patients |
| Pinnacle Healthcare System | Current | Accepting new patients |
Locations
1859 Van Buren St
Hollywood, FL 33020
Phone (954) 920-0900
3600 Washington St
Hollywood, FL 33021
Phone (954) 265-4461
3700 Washington St
Ste 500A
Hollywood, FL 33021
Phone (954) 633-7858
4200 Washington St
Hollywood, FL 33021
Phone (954) 981-6300
2201 NE 170th St
North Miami Beach, FL 33160
Phone (305) 945-1401
3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000
2213 N University Dr
Pembroke Pines, FL 33024
Phone (954) 963-2151
Interoperability endpoints
- brian.ibrahim@pinnhealth.eclinicaldirectplus.com
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Kindred Hospital-South Florida-Hollywood | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Mar 17, 2025 Mar 17, 2025 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Skilled Nursing Facility
- Hollywood, FL
- NPI 1518330315
Adp of the SNF, Operational/Managerial Control
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.
-
- Family Medicine Physician
- Hollywood, FL
- NPI 1073897195
-
- Cardiovascular Disease Physician
- Hollywood, FL
- NPI 1225288392
Hospital & facility affiliations 15
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Coral Springs, FL
- NPI 1417021866
-
- Home Health Agency
- Coral Springs, FL
- NPI 1568764348
-
- Home Health Agency
- Hallandale Beach, FL
- NPI 1033355672
-
- Home Health Agency
- Miramar, FL
- NPI 1073119046
-
- Long Term Care Hospital
- Coral Gables, FL
- NPI 1124103650
Long-term care hospital
-
- Rehabilitation Hospital Unit
- Ft Lauderdale, FL
- NPI 1376176503
Long-term care hospital
-
- Long Term Care Hospital
- Hollywood, FL
- NPI 1811072341
Long-term care hospital
-
- Long Term Care Hospital
- Ft Lauderdale, FL
- NPI 1861577306
Long-term care hospital
-
- Home Health Agency
- Hollywood, FL
- NPI 1386212546
-
- General Acute Care Hospital
- Aventura, FL
- NPI 1407801673
-
- General Acute Care Hospital
- Pembroke Pines, FL
- NPI 1063495836
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681084800000",
"number": "1891006490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 WASHINGTON ST STE 500A",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330218256",
"telephone_number": "954-647-2326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 WASHINGTON ST STE 500A",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330218256",
"telephone_number": "954-989-4700",
"fax_number": "954-989-4754"
}
],
"practiceLocations": [
{
"address_1": "2807 NE 28th St",
"address_purpose": "LOCATION",
"city": "Fort Lauderdale",
"state": "FL",
"postal_code": "333061915",
"country_code": "US",
"telephone_number": "954-989-4700",
"fax_number": "954-989-4754",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IBRAHIM",
"first_name": "BRIAN",
"middle_name": "BASSEM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-29",
"last_updated": "2023-04-10",
"certification_date": "2023-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME107558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- 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.