Bryan Kenneth Lubansky, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ACN1244 Issued in FL

Practice address

3990 Sheridan St Ste 101
Hollywood, FL 33021-3655

Phone

(954) 987-4455

NPI assigned

Feb 23, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

General Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emerald Hills Medical Center IncGroup PAC ID 4789607813, 3 clinicians

Sunset Strip Medical Center IncGroup PAC ID 5395635684, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Emerald Hills Medical Center Inc

  • Internal Medicine Physician
  • Hollywood, FL
  • NPI 1407864481

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Sunset Strip Medical Center, Inc

  • Internal Medicine Physician
  • Sunrise, FL
  • NPI 1881607562

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Best Value Healthcare LLC

  • Internal Medicine Physician
  • Clearwater, FL
  • NPI 1790152015

  Single Specialty

  Medicare reassignment NPD
• Best Value Healthcare LLC

  • Internal Medicine Physician
  • North Fort Myers, FL
  • NPI 1619542446

  Single Specialty

  NPD (past)
• MD Healthcare Network LLC

  • Family Medicine Physician
  • Weston, FL
  • NPI 1962892141

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1487808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1972042950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3990 SHERIDAN ST STE 101",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213655",
            "telephone_number": "954-987-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3990 SHERIDAN ST STE 101",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213655",
            "telephone_number": "954-987-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBANSKY",
        "first_name": "BRYAN",
        "middle_name": "KENNETH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-23",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonika Lovone
• Annia Loyola Garcia
• LP Hollywood, LLC
• LS Therapy Group
• Yunjia Lu, R.PH
• Amanda Darniecia Lubin
• Marck Lubin
• Maria Florencia Lucano, MD
• Dalia Lucas
• Leila Lucas

• General Practice Physician in Hollywood, FL
• Providers in Hollywood, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.

Verify at the official NPI Registry.