Individual provider Active NPI

Brad Nitzberg, M.D.

  • Otolaryngology Physician
  • Coral Springs, FL
National Provider Identifier
1932113123
Registry record updated Jun 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
ME 56491 Issued in FL
Practice address
5401 N University Dr
Suite 203a
Coral Springs, FL 33067-4636
Phone
(954) 755-1946
Fax
(954) 755-7789
NPI assigned
Jul 27, 2006
Last updated
Jun 2, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X ME 56491 FL Primary

Addresses

Primary practice location

5401 N University Dr
Suite 203a
Coral Springs, FL 33067-4636

Mailing address

5401 N University Dr
Suite 203a
Coral Springs, FL 33067-4636
Phone (954) 755-1946

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
I20050607000313 FL Practitioner - Otolaryngology 2365485745 Practice locations: Boca Raton, FL; Coral Springs, FL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 56491FLMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brad Nitzberg MD Otolaryngology PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275436800000",
    "number": "1932113123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 N UNIVERSITY DR",
            "address_2": "SUITE 203A",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674636",
            "telephone_number": "954-755-1946",
            "fax_number": "954-755-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 N UNIVERSITY DR",
            "address_2": "SUITE 203A",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674636",
            "telephone_number": "954-755-1946",
            "fax_number": "954-755-7789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NITZBERG",
        "first_name": "BRAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2010-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME 56491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.