DR. BRIAN DAVID UDELL (NPI# 1073779724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073779724 |
| Entity Type | Individual |
| Full Name | DR. BRIAN DAVID UDELL |
| Credential | M.D. |
| Practice Address |
1401 S. Federal Hwy Children's Diagnostic and Treatment Center Fort Lauderdale FL 33316-2619 |
| Mailing Address |
40 Hendricks Isle Apt 501 Fort Lauderdale FL 33301-5734 |
| Practice Telephone | 9547288080 |
| Practice Fax Number | 9547791957 |
| Mailing Telephone | 9547646641 |
| Mailing Fax Number | 9547289346 |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2008-08-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ME 42264 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
1401 S. FEDERAL HWY CHILDREN'S DIAGNOSTIC AND TREATMENT CENTER |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33316-2619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427528066 | Miguelaille Pierre | Social Worker | 1401 S. Federal Hwy, Fort Lauderdale, FL 33316-2619 | 2018-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366064040 | Jonathan David Ortiz | Behavior Technician | 1717 Se 4 Ave, Fort Lauderdale, FL 33316 | 2020-05-15 |
| 1306311626 | Gateway Recovery Center, LLC | Counselor | 1421 Sw 4th Avenue, Suite B, Fort Lauderdale, FL 33316 | 2018-10-13 |
| 1588141626 | Natan Bastoky | Family Medicine | 1600 S Andrews Ave # Gme, Fort Lauderdale, FL 33316 | 2018-07-22 |
| 1104320126 | Kathleen Kanani Graham | Pharmacist | 1401 S. Federal Highway, Ft. Lauderdale, FL 33316 | 2018-03-23 |
| 1093224271 | Lacosta Therapy, LLC | Behavioral Analyst | 412 Se 15 St., #4, Ft. Lauderdale, FL 33316 | 2017-09-20 |
| 1124560370 | Yulia Rybalka | Pharmacist | 217 Se 10th Street, Ft Lauderdale, FL 33316 | 2016-11-04 |
| 1730635376 | Brian Alexander Reyes | Specialist/Technologist | 303 Se 3rd Ave, Ft Lauderdale, FL 33316 | 2016-09-01 |
| 1649726282 | Jennifer Tabares | Specialist/Technologist | 303 Southeast 3rd Av, Fort Lauderdale, FL 33316 | 2016-09-01 |
| 1609236850 | Diane Nicole Shilling | Nurse Practitioner | 1001 South Andrews Avenue, Suite 100, Ft. Lauderdale, FL 33316 | 2016-03-01 |
| 1396113239 | Victoria Rosado | Adult Companion | 150 Se 12th Street, 401(b), Fort Lauderdale, FL 33316 | 2015-09-09 |
| Find all providers in zip 33316 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295129641 | Kristin Joann Biggie | Pediatrics | 5333 N Dixie Highway, Suite 106, Fort Lauderdale, FL 33334 | 2015-03-24 |
| 1326281510 | Kathryn Anne Birken-friedman | Pediatrics | 901 Cordova Rd, Fort Lauderdale, FL 33316-1451 | 2009-04-17 |
| 1346329349 | Lalit K Shah Md Pa | Pediatrics | 4725 North Federal Hwy, Nicu 2nd Floor Holy Cross Hospital, Fort Lauderdale, FL 33308-4603 | 2006-11-02 |
| 1659309698 | North Broward Hospital District | Pediatrics | 1625 Se 3 Avenue, Sutie 635, Fort Lauderdale, FL 33316 | 2006-06-29 |
| 1619905676 | North Broward Hospital District | Pediatrics | 2400 Nw 26 Street, Fort Lauderdale, FL 33311 | 2006-06-29 |
| 1316902430 | Ernesto Jose Blanco | Pediatrics | 1625 Se 3rd Ave Ste 200, Fort Lauderdale, FL 33316-2521 | 2006-04-20 |
| 1225093347 | Nolan S Berman | Pediatrics | 2866 E Oakland Park Blvd Ste 2, Fort Lauderdale, FL 33306-1819 | 2006-04-20 |
| 1679538854 | Maria D. Barrueco-casariego | Pediatrics | 1401 South Federal Highway, Fort Lauderdale, FL 33316-2619 | 2006-04-19 |
| 1295799187 | Joselyn M Mateo | Pediatrics | 200 Nw 7 Avenue, Fort Lauderdale, FL 33311 | 2006-04-17 |
| 1003885765 | Paula Michele Thaqi | Pediatrics | 780 Sw 24th St, Fort Lauderdale, FL 33315-2643 | 2006-03-15 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33316 |
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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.