North Broward Hospital District

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NORTH BROWARD HOSPITAL DISTRICT

Doing business as

BH Physicians Main

Practice address

789 S Federal Hwy
Suite 106
Fort Lauderdale, FL 33316-1245

Phone

(954) 689-8088

Fax

(954) 689-8147

NPI assigned

Nov 30, 2011

Last updated

Jan 24, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

NORTH BROWARD HOSPITAL DISTRICTAs reported in NPPES

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

Authorized official

Name

Kevin Fusco

Title

Interim President/Ceo

Phone

(954) 473-7100

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• BH Physicians Main Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Part of

N Btroward Hospital Dis

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sudha Gupta, MD

  • Pediatrics Physician
  • Fort Lauderdale, FL
  • NPI 1205890118
  NPD

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485216000000",
    "number": "1902173297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 SE 3RD AVE",
            "address_2": "THIRD FLOOR PBO",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162564",
            "telephone_number": "954-847-4273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 S FEDERAL HWY",
            "address_2": "SUITE 106",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161245",
            "telephone_number": "954-689-8088",
            "fax_number": "954-689-8147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BROWARD HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH BROWARD HOSPITAL DISTRICT",
        "enumeration_date": "2011-11-30",
        "last_updated": "2017-01-24",
        "status": "A",
        "authorized_official_last_name": "FUSCO",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "INTERIM PRESIDENT/CEO",
        "authorized_official_telephone_number": "954-473-7100"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00020",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253794056",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BH Physicians Main",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• North Broward Hospital District (BH Physicians Main)
• North Broward Hospital District (BGMC Cancer Center)
• North Broward Hospital District (BH Transplant Group)
• North Broward Hospital District (BHN Coumadin Clinic)
• North Broward Hospital District (BH Physicians Main)
• North Broward Hospital District (BHIP Anemia Clinic)
• North Broward Hospital District (Broward General Pharmacy Outpatient)
• North Broward Hospital District (Imperial Point Pharmacy - Inpatient)
• North Broward Hospital District (BHIP Behavioral Health)
• North Broward Hospital District (BH Hospitalists)

• Family Medicine Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.