DR. BRIAN BASSEM IBRAHIM (NPI# 1891006490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891006490 |
| Entity Type | Individual |
| Full Name | DR. BRIAN BASSEM IBRAHIM |
| Credential | MD |
| Practice Address |
14050 Nw 14th St Suite 190 Sunrise FL 33323-2865 |
| Mailing Address |
11 Pleasant Valley Way West Orange NJ 07052-2904 |
| Practice Telephone | 9543772978 |
| Mailing Telephone | 8623681172 |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2010-06-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME107558 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
14050 NW 14TH ST SUITE 190 |
| City | SUNRISE |
| State | FL |
| Zip Code | 33323-2865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699771576 | Daphne Marian Pitts | Emergency Medicine | 14050 Nw 14th St, Suite 190, Sunrise, FL 33323-2865 | 2005-06-24 |
| 1396296729 | Jason Shull | Nurse Practitioner | 14050 Nw 14th St, Suite 190, Sunrise, FL 33323-2865 | 2016-10-20 |
| 1356726848 | Christopher Toney | Nurse Practitioner | 14050 Nw 14th St, Suite 190, Sunrise, FL 33323-2865 | 2015-07-25 |
| 1952664161 | Baby Vasanthi Kodali | Internal Medicine | 14050 Nw 14th St, Suite 190, Sunrise, FL 33323-2865 | 2012-06-21 |
| 1386961167 | Justin Noel Dzik | Emergency Medicine | 14050 Nw 14th St, Suite 190, Sunrise, FL 33323-2865 | 2010-05-03 |
| 1215131966 | Frank James Garber | Nurse Practitioner | 14050 Nw 14th St, Suite 190, Sunrise, FL 33323-2865 | 2007-06-14 |
| 1831237692 | Alfa Omar Diallo | Emergency Medicine | 14050 Nw 14th St, Suite 190, Sunrise, FL 33323-2865 | 2007-02-02 |
| 1003921552 | Hemangini J Mehta | Internal Medicine | 14050 Nw 14th St, Suite 190, Sunrise, FL 33323-2865 | 2006-08-21 |
| 1336171719 | Neil Leonard Christen | Emergency Medicine | 14050 Nw 14th St, Suite 190, Sunrise, FL 33323-2865 | 2006-07-07 |
| 1164459749 | Neil David Stern | Emergency Medicine | 14050 Nw 14th St, Suite 190, Sunrise, FL 33323-2865 | 2006-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427605088 | Global Wellness LLC | Clinical Neuropsychologist | 1560 Sawgrass Corporate Parkway #447, Sunrise, FL 33323 | 2019-08-19 |
| 1740785062 | Rodolfo Walse Asis Jr. | Physical Medicine & Rehabilitation | 1580 Sawgrass Corporate Parkway, Suite 200, Sunrise, FL 33323 | 2018-03-28 |
| 1558890913 | Juliana Andrea Duque | Technician, Health Information | 11301 Nw 29th Street, Sunrise, FL 33323 | 2017-06-08 |
| 1487183026 | Alejandra Lamardo | Specialist/Technologist | 3634 Nw 122nd Ter, Sunrise, FL 33323 | 2017-06-07 |
| 1831630623 | Kayode David Ojetola | Physical Therapist | 1580 Sawgrass Corporate Parkway, Sunrise, FL 33323 | 2017-03-14 |
| 1467990770 | Gerardo Pre Dinglasan Jr. | Physical Therapist | 1580 Sawgrass Corporate Parkway Suite 200, Parkway Suite 200, Sunrise, FL 33323 | 2017-02-07 |
| 1184161630 | Praveen Mishra | Physical Therapist | 1580 Sawgrass Corp Parkway, Suite 200, Sunrise, FL 33323 | 2017-01-23 |
| 1770029183 | Corahealinghands Psychiatric Services Inc | Nurse Practitioner | 14421 West Sunrise Boulevard Suite, 208, Sunrise, FL 33323 | 2017-01-09 |
| 1558718916 | Shirley Freckleton-williams | Nurse Practitioner | 13110 Nw 11th Drive, Sunrise, FL 33323 | 2016-05-16 |
| 1376927525 | Tai Lyn Auras | Nurse Practitioner | 14050 Nw 14th Street, Suite 190, Fort Lauderdale, FL 33323 | 2015-07-17 |
| Find all providers in zip 33323 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942675038 | Thomas Fordham Brewer, M.d., Inc. | Family Medicine | 13630 Nw 8th St Suite 205, Sunrise, FL 33325 | 2015-12-01 |
| 1245610765 | Jason Navarro | Family Medicine | 1257 Nw 125th Ter, Sunrise, FL 33323-3178 | 2015-06-01 |
| 1457697914 | Jacob Lazarovic | Family Medicine | 1391 Nw 136th Ave, Sunrise, FL 33323-2800 | 2013-01-02 |
| 1740447051 | Carolyn Sue George | Family Medicine | 12651 W Sunrise Blvd Ste 103, Sunrise, FL 33323-0906 | 2008-05-22 |
| 1306066121 | Leon Lawrence Shore | Family Medicine | 10111 W Oakland Park Blvd, Sunrise, FL 33351-6917 | 2007-04-26 |
| 1982828299 | Vivian Alabastro Perez-mcarthur | Family Medicine | 1084 Sunset Strip, Sunrise, FL 33313-6106 | 2007-04-11 |
| 1447324546 | Libertad A Palma Md Pa | Family Medicine | 10028 W Oakland Park Blvd, Sunrise, FL 33351-6959 | 2006-11-20 |
| 1912095225 | Leslie Karen Herzog | Family Medicine | 8890 W Oakland Park Blvd Ste 100, Sunrise, FL 33351 | 2006-10-11 |
| 1356376412 | J S Santos Inc | Family Medicine | 6501 Sunset Strip, Sunrise, FL 33313-2853 | 2006-07-11 |
| 1609812437 | Carlos Enrique Ballestas | Family Medicine | 12651 W Sunrise Blvd Ste 202, Sunrise, FL 33323-0906 | 2006-06-21 |
| Find all providers in SUNRISE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.