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

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: October 18, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Brenda Bourassa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Florida Kidney Physicians , LLC
134 mi
Nephrology
450 MALABAR RD SE UNIT 102
Palm Bay, FL 32907
  • Reassigned Medicare billing, Florida enrollment
  • 210 clinicians in this Medicare group
NPI 1548930068 (321) 768-3655

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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)
407 SE 9TH ST, SUITE 103
FORT LAUDERDALE, FL 33316
Broward County (954) 463-0112
REINALDO ROSARIO M.D.
Internal Medicine (Nephrology)
407 SE 9TH ST, SUITE 103
FORT LAUDERDALE, FL 33316
Broward County (954) 463-0112
DR. WAYNE ROBERT KOTZKER MD
Internal Medicine (Nephrology)
407 SE 9TH ST, SUITE 103
FORT LAUDERDALE, FL 33316
Broward County (954) 463-0112
ALBERTO CASARETTO MD PLC
Internal Medicine (Nephrology)
407 SE 9TH ST, SUITE 103
FORT LAUDERDALE, FL 33316
Broward County (954) 463-0112
DR. NISHA BHATT MD
Internal Medicine (Nephrology)
407 SE 9TH ST, SUITE 103
FORT LAUDERDALE, FL 33316
Broward County (954) 463-0112
LORIANNE ENGLISH ARNP
Nurse Practitioner
407 SE 9TH ST, SUITE 103
FORT LAUDERDALE, FL 33316
Broward County (954) 463-0112
DR. ZACHARY L. YABLON MD
Internal Medicine (Nephrology)
407 SE 9TH ST, SUITE 103
FORT LAUDERDALE, FL 33316
Broward County (954) 463-0112

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 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.

Where is Brenda Bourassa located?

Brenda Bourassa practices at 407 SE 9th St Suite 103, Fort Lauderdale, FL 33316. The listed phone number is (954) 463-0112.

What is Brenda Bourassa's specialty?

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

Is Brenda Bourassa enrolled in Medicare?

Yes. Brenda Bourassa is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brenda Bourassa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brenda Bourassa reassigns Medicare benefits to Florida Kidney Physicians , LLC (Palm Bay, FL). The 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 Brenda Bourassa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.