BRIAN B IBRAHIM MD PA
NPI 1073897195
Family Medicine in Hollywood, FL
About Brian B Ibrahim Md Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRIAN B IBRAHIM MD PA (NPI 1073897195) is a healthcare organization registered as a family medicine in Hollywood, Florida and active in the NPI registry since October 2011. The organization lists Brian B Ibrahim, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Brian B Ibrahim Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Brian B Ibrahim MD PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Brian B Ibrahim MD PA's NPI number?
The NPI number for Brian B Ibrahim MD PA is 1073897195. It was assigned to this organization in the NPPES registry on October 7, 2011.
Where is Brian B Ibrahim MD PA located?
Brian B Ibrahim MD PA is located at 4200 Washington St, Hollywood, FL 33021. The listed phone number is (954) 981-6300.
What is Brian B Ibrahim MD PA's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Brian B Ibrahim MD PA enrolled in Medicare?
Yes. Brian B Ibrahim MD PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Brian B Ibrahim MD PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Brian B Ibrahim MD PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Brian B Ibrahim MD PA was last updated on October 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Brian B Ibrahim Md Pa · NPI 1073897195
Family Medicine organization in Hollywood, Florida. Organization record, active in the CMS NPPES registry since October 7, 2011.
## Identity
- **NPI:** 1073897195 (Entity type: Organization)
- **Enumerated:** October 7, 2011
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Brian Ibrahim, PRESIDENT
## Practice location
- **Address:** 4200 WASHINGTON ST, Hollywood, FL 33021-7353
- **Phone:** (954) 981-6300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 7, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1073897195) · Data from the CMS NPPES public registry.