OrganizationActive
Phoenix Obstetrics and Gynecology LLC
NPI 1902944382 · Specialist · Ft Lauderdale, FL
Phoenix Obstetrics and Gynecology LLC is a Specialist organization in Ft Lauderdale, FL (NPI 1902944382).
Provider details
- NPI number
- 1902944382
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Bertrum Walls, President(954) 355-5017
- License
- ME43546 (FL)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1600 S Andrews Ave
Ft Lauderdale, FL 33316-2510
Phone: (954) 355-5017
Fax: (954) 714-6335
Street-level locationGet directions
Mailing address
1600 S Andrews Ave
Ft Lauderdale, FL 33316-2510
Registry dates
- Enumerated
- 2007-02-01
- Last updated
- 2009-05-22
Frequently asked questions
- What is Phoenix Obstetrics and Gynecology LLC's NPI number?
- Phoenix Obstetrics and Gynecology LLC's National Provider Identifier (NPI) is 1902944382, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Phoenix Obstetrics and Gynecology LLC?
- Phoenix Obstetrics and Gynecology LLC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Phoenix Obstetrics and Gynecology LLC located?
- Phoenix Obstetrics and Gynecology LLC's practice location on file with NPPES is 1600 S Andrews Ave, Ft Lauderdale, FL 33316-2510.
- What is Phoenix Obstetrics and Gynecology LLC's phone number?
- The practice phone number listed in the NPPES registry for Phoenix Obstetrics and Gynecology LLC is (954) 355-5017.
- Who is the authorized official for Phoenix Obstetrics and Gynecology LLC?
- The authorized official listed on Phoenix Obstetrics and Gynecology LLC's NPPES record is Bertrum Walls, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Phoenix Obstetrics and Gynecology LLC's NPI active?
- Yes — Phoenix Obstetrics and Gynecology LLC's NPI (1902944382) is active in the NPPES registry as of the last update on 2009-05-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.