Individual provider Active NPI

Brian Bassem Ibrahim, MD

  • Family Medicine Physician
  • Hollywood, FL
National Provider Identifier
1891006490
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME107558 Issued in FL
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

Updated by the provider on Apr 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100928000093 FL Practitioner - Family Practice 8729104708 Reassigns benefits to 2 organizations

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
Pinnacle Healthcare SystemGroup PAC ID 3072675677, 6 clinicians

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 Home health agency, Coral Springs, FL, CCN 103185
  • Trilogy Home Healthcare Home health agency, Coral Springs, FL, CCN 108061
  • Memorial Home Health Services Home health agency, Hollywood, FL, CCN 107444
  • Home Care Plus Inc Home health agency, Miramar, FL, CCN 687150
  • Compassionate Caring Home Care, Inc Home health agency, Hallandale, FL, CCN 109324
  • Memorial Regional Hospital Hospital, Hollywood, FL, CCN 100038
  • Memorial Hospital Miramar Hospital, Miramar, FL, CCN 100285
  • Memorial Hospital West Hospital, Pembroke Pines, FL, CCN 100281
  • Memorial Hospital Pembroke Hospital, Pembroke Pines, FL, CCN 100230
  • HCA Florida Aventura Hospital Hospital, Aventura, FL, CCN 100131
  • Kindred Hospital-South Florida-Ft Lauderdale Long-term care hospital, Fort Lauderdale, FL, CCN 102010
  • Kindred Hospital South Florida Hollywood Nursing home, Hollywood, FL, CCN 106109

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME107558FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brian B Ibrahim MD PA Family Medicine CurrentSince Sep 17, 2011 Accepting new patients
Pinnacle Healthcare System CurrentSince Dec 15, 2020 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

  • Direct secure messaging: 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.

FacilityTypeRoleSince
Kindred Hospital-South Florida-HollywoodHollywood, FL, CCN 106109 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.

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 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

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

Verify at the official NPI Registry.