Brian Alan Boe

M.D. | Pediatric Cardiology | Male

---

Complete Profile:

Brian Alan Boe basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics, Pediatric Cardiology
Provider Name :	Brian Alan Boe
Credential :	M.D.
Gender :	Male

Business Address:

Brian Alan Boe address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	1150 N 35th Ave Ste 490 Hollywood, FL, 33021-5423 United States
Phone Number :	954-265-3437
Fax Number :	954-983-5052

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1043452378
NPI Entity Type :	Individual
First Enrolment Date :	01 Apr, 2009
Last Updated On :	06 Apr, 2023

Medicare Participation:

Brian Alan Boe participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	2365755790
Medicare Enrollment ID :	I20220824000689
Primary Specialty :	Cardiovascular Disease (cardiology)
Medical School :	University Of South Florida College Of Medicine
Graduation Year :	2009
Accepts Medicare?	Yes. Brian Alan Boe accepts medicare insurance.

Group Practice Association:

Brian Alan Boe is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Brian Alan Boe is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
South Broward Hospital District	8123927373	481	1005 Joe Dimaggio Dr Hollywood, FL - 330215402 Ph: 9542656939	Yes
South Broward Hospital District	8123927373	481	3501 Johnson St Hollywood, FL - 330215421 Ph: 9542657750	Yes
South Broward Hospital District	8123927373	481	3501 Johnson St Fl 1 Hollywood, FL - 330215421 Ph: 9542657750	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Brian Alan Boe are as mentioned. Primary taxonomy code for Brian Alan Boe, M.D. is 2080P0202X (Pediatrics, Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	ME156552	FL
207RA0001X	Internal Medicine, Advanced Heart Failure and Transplant Cardiology	No	ME156552	FL
2080P0202X	Pediatrics, Pediatric Cardiology	Yes	ME156552	FL

Legacy Identifiers:

Other legacy medical identifiers of Brian Alan Boe such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
115157200	MEDICAID	FL

Other Practice Locations:

Practice Address	City, State	Phone Number
3501 JOHNSON ST, HOLLYWOOD, FL, 33021-5421 United States	HOLLYWOOD, FL	954-265-7750

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	2900 Corporate Way, Door D Miramar, FL, 33025-3925 United States
Phone Number :	954-276-5685
Fax Number :	954-276-0357

Business Location:

Patients can refer following map for directions to Brian Alan Boe practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.