Active NPI
North Broward Hospital District
Doing business as BH Physicians Main
- Internal Medicine Physician
- Plantation, FL
National Provider Identifier
1952740458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- NORTH BROWARD HOSPITAL DISTRICT
- Doing business as
- BH Physicians Main
- Practice address
- 1811 N Pine Island Rd
Plantation, FL 33322-5207 - Phone
- (954) 320-3360
- Fax
- (954) 473-2327
- NPI assigned
- Jun 18, 2013
- Last updated
- Jul 30, 2019
- Organization subpart
- Yes
- Parent organization
- NORTH BROWARD HOSPITAL DISTRICT
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gino Santorio
- Title
- President/Ceo
- Phone
- (954) 473-7024
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | Primary |
Addresses
Primary practice location
1811 N Pine Island Rd
Plantation, FL 33322-5207
Mailing address
1700 NW 49TH St Ste 125
Fort Lauderdale, FL 33309-3750
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 253794067 | Medicaid | FL |
Other names 1
- BH Physicians Main
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040405001860 | FL | Part B Supplier - Clinic/Group Practice | 3577472422 |
Receives reassigned benefits from 251 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider Directory- Part of
- N Btroward Hospital Dis
Locations
1811 N Pine Island Rd
Plantation, FL 33322
Phone (954) 320-3360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371513600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1564444800000",
"number": "1952740458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 NW 49TH ST STE 125",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333093750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1811 N PINE ISLAND RD",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333225207",
"telephone_number": "954-320-3360",
"fax_number": "954-473-2327"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH BROWARD HOSPITAL DISTRICT",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NORTH BROWARD HOSPITAL DISTRICT",
"enumeration_date": "2013-06-18",
"last_updated": "2019-07-30",
"status": "A",
"authorized_official_last_name": "SANTORIO",
"authorized_official_first_name": "GINO",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "954-473-7024"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "253794067",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "BH Physicians Main",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "BH Physicians Main",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Plantation, FL
- North Broward Hospital District (BH Urgent C are Plantation)
- North Broward Hospital District (BH Physicians Main)
- North Broward Hospital District (BH Physicians Main)
- North Broward Hospital District
- North Broward Hospital District (BH Physicians Main)
- Djennie Norvilus
- Erica L. Novack
- Karen Novakoski, MS CCC-SLP
- Maritza Novas, FNP-BC
- Samantha Novick
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; 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.