DR. BRENDA BOURASSA DO
NPI 1184726978
Internal Medicine - Nephrology in Fort Lauderdale, FL

Q: What is Brenda Bourassa's NPI number?

The NPI number for Brenda Bourassa is 1184726978. It was assigned to this individual provider in the NPPES registry on September 2, 2006.

Q: What is Brenda Bourassa's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Brenda Bourassa was last updated on February 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since September 02, 2006PECOS Enrolled

407 SE 9TH ST, SUITE 103, FORT LAUDERDALE, FL 33316(954) 463-0112(954) 463-0117 Get Directions Write a Review

NPPES record last updated: February 16, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Brenda Bourassa Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRENDA BOURASSA DO (NPI 1184726978) is an individual nephrology provider in Fort Lauderdale, Florida, licensed in Florida (OS7548) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184726978

Entity TypeIndividualFemale

Primary Taxonomy207RN0300X

Provider Legal NameDR. BRENDA BOURASSACredential: DO

Location Address407 SE 9TH ST, SUITE 103Fort Lauderdale, FL 33316-1113

Mailing Address407 Se 9th St, Suite 103Fort Lauderdale, FL 33316-1113 · (954) 463-0112 · Fax (954) 463-0117

Phone(954) 463-0112

Fax(954) 463-0117

Sole ProprietorNo

Enumeration DateSeptember 2, 2006

Last NPPES UpdateFebruary 16, 2016

✔ NPI 1184726978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in FL · OS7548

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

407 SE 9TH ST, Fort Lauderdale, FL 33316

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Other Identifiers 2

Medicaid273027800FL

Medicare UPING67677FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Brenda Bourassa Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33316 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$135.56 typical visit price

range $58.56 – $179.05

Typical copayment $33.89 (range $14.64 – $44.76)

Most-billed visit code 99204

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CARLOS ELIU DURAN-MARTINEZ M.D

Internal Medicine (Nephrology)