North Broward Hospital District
Organization Active NPI Federally Qualified Health Center (FQHC) · Fort Lauderdale, FL
NPI 1972531945 · NPPES record last updated May 27, 2025
Key facts
- NPI
- 1972531945
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- NORTH BROWARD HOSPITAL DISTRICT
- Practice address
- 200 NW 7TH Ave
Fort Lauderdale, FL 33311 - Phone
- (954) 759-6600
- Fax
- (954) 759-6665
- NPI assigned
- Jun 29, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- NORTH BROWARD HOSPITAL DISTRICT
Authorized official
- Name
- Alisa Bert
- Title
- Interim Cfo
- Phone
- (954) 847-4117
Owned or controlled facilities with NPI records 11
Other NPIs on the same Medicare enrollment 3
Other NPIs with the same Medicare PAC ID 24
Practitioners 199
-
Sharvil Patel, DO
-
Sam Nmi Sareh, MD
-
Vanina Molinares, M.D.
-
Kristina Nemeth, MD
-
Khwaja Saad Haq, MD
-
Alia Abdulla, DO
-
Geddis Abel-Bey Jr., M.D.
-
Celso Agner, M.D., MSC
-
Sajive Aleyas, M.D.
-
Melissa Armas, D.O.
-
Arlene N Barrett, APRN
-
Natan Bastoky, DO
-
Ruth Beaufosse, APRN
-
Ahmed Soliman Behairy, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in FL
Federally qualified health center certification: CCN 681888
- Legal name
- NORTH BROWARD HOSPITAL DISTRICT
- Doing business as
- CORA E BRAYNON FAMILY HLTH CTR
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Jul 1, 2021
- Last certification
- Jul 1, 2021
- Ownership / control type
- For profit – corporation
- Organization structure
- Government · Non-profit
- Incorporated
- Jan 6, 2004 in FL
- Enrollment address
- 200 NW 7TH Ave
Fort Lauderdale, FL 33311-9026
All disclosed owners & managing parties 10
| Name | Role | Since | Share |
|---|---|---|---|
| Stuart M Glassberg |
Corporate Officer |
Jun 28, 2010 | |
| Nancy Gregoire |
Corporate Officer |
Dec 1, 2017 | |
| Stacy Angier |
Corporate Officer |
Oct 19, 2018 | |
| Ray Berry |
Corporate Officer |
May 11, 2018 | |
| Marie Waugh |
Corporate Officer |
Nov 30, 2018 | |
| Levi Williams |
Corporate Officer |
Apr 2, 2021 | |
| Alexander Fernandez |
Corporate Officer |
Dec 23, 2018 | |
| Corporate Director |
Dec 13, 2018 | ||
| Operational/Managerial Control |
Dec 23, 2018 | ||
| Shane Strum |
Corporate Officer |
Mar 29, 2021 | |
| Corporate Director |
Mar 29, 2021 | ||
| Operational/Managerial Control |
Mar 29, 2021 | ||
| Christopher Pernicano |
Corporate Officer |
Apr 2, 2021 | |
| Jonathan Hage |
Corporate Officer |
Apr 2, 2021 |
All facility ownership & control disclosures 9
| Facility | Type | Role | Since |
|---|---|---|---|
| Broward Health North |
Hospital | Operational/Managerial Control | May 14, 2008 |
| Broward Health Imperial Point |
Hospital | 5% Or Greater Direct Ownership Interest Operational/Managerial Control |
Jan 1, 1984 Jan 1, 1984 |
| Broward Health Medical Center-Psych Unit |
Hospital | Operational/Managerial Control | Jul 1, 2007 |
| Broward Health Coral Springs |
Hospital | Operational/Managerial Control (100%) | Mar 17, 1987 |
| Broward Health Imperial Point-Psych Unit |
Hospital | Operational/Managerial Control (100%) | Jul 1, 1984 |
| Broward Health North- Rehab Unit |
Hospital | Operational/Managerial Control | May 13, 2008 |
| Pompano Adult Primary Care |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jul 1, 1993 Oct 1, 1993 |
| Specialty Care Center |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jul 1, 1993 Jul 1, 1993 |
| Margate Health Center |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jul 1, 1993 Oct 1, 1993 |
Medicare enrollment records
| 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 |
| O20210728002238 | FL | Part a Provider - Federally Qualified Health Center (FQHC) | 3577472422 |
3 other NPIs on this enrollment Practice locations: Fort Lauderdale, FL |
National Provider Directory
- Part of
- Robert L Odell MD
Locations
1608 SE 3rd Ave
Fl 3
Ft Lauderdale, FL 33316
3716 W Oakland Park Blvd
Lauderdale Lakes, FL 33311
Phone (954) 759-7557
Networks
- Freedom Health HMO Network
- HealthSun Health Plans Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes | ||
| Multi-Specialty Clinic/Center | 261QM1300X |
Addresses
Primary practice location
200 NW 7TH Ave
Fort Lauderdale, FL 33311
Mailing address
1700 NW 49TH St Ste 125
Fort Lauderdale, FL 33309-3750
Phone (954) 759-6600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 681888 | Other | FL | BCBS |
| V2980 | Other | FL | BCBS |
| 255186100 | Medicaid | FL | |
| 00020 | Other | FL | BCBS |
Other names
- CEB ADULT CENTER
- CEB PEDIATRIC CENTER
- CEB PRENATAL CENTER
Other providers in Fort Lauderdale, FL
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- North Broward Hospitalist Inc
- North Broward Radiologists, P.a.
- North Broward Radiologists, P.a.
All providers in Fort Lauderdale, FL · Federally Qualified Health Center (FQHC) in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.