SOUTH BROWARD HOSPITAL DISTRICT
NPI 1962706721
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Hollywood, FL
About South Broward Hospital District NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH BROWARD HOSPITAL DISTRICT (NPI 1962706721), doing business as Memorial Division Of Pediatric Neurology, is a healthcare organization registered as a neurology with special qualifications in child neurology in Hollywood, Florida and active in the NPI registry since January 2011. The organization maintains 2 additional practice locations and lists Esther Surujon, Cfo Memorial Physician Group & Mpc, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Locations 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
South Broward Hospital District is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
14Medicare enrollment records show 14 clinicians reassign Medicare billing to South Broward Hospital District, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (14)
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 South Broward Hospital District's NPI number?
The NPI number for South Broward Hospital District is 1962706721. It was assigned to this organization in the NPPES registry on January 7, 2011. The provider is doing business as Memorial Division of Pediatric Neurology.
Where is South Broward Hospital District located?
South Broward Hospital District is located at 1150 N 35th Ave Ste 520, Hollywood, FL 33021. The listed phone number is (954) 265-2423.
What is South Broward Hospital District's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.
Is South Broward Hospital District enrolled in Medicare?
Yes. South Broward Hospital District is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through South Broward Hospital District?
According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 5 Medicare specialties reassign their Medicare billing to South Broward Hospital District. 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. The largest specialties are Neurology (8), Nurse Practitioner (3) and Clinical Psychologist (1). Of these, 1 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does South Broward Hospital District accept?
Health plans from 22 Health, Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 3 other insurers list South Broward Hospital District as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for South Broward Hospital District was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.
# South Broward Hospital District · NPI 1962706721
Neurology with Special Qualifications in Child Neurology organization in Hollywood, Florida. Organization record, active in the CMS NPPES registry since January 7, 2011.
## Identity
- **NPI:** 1962706721 (Entity type: Organization)
- **Enumerated:** January 7, 2011
- **Primary specialty:** Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology · taxonomy 2084N0402X
- **Also known as:** Memorial Division of Pediatric Neurology (Doing Business As)
- **Organization subpart:** Yes (part of South Broward Hospital District)
- **Authorized official:** Esther Surujon, CFO MEMORIAL PHYSICIAN GROUP & MPC
## Practice location
- **Address:** 1150 N 35TH AVE STE 520, Hollywood, FL 33021-5431
- **Phone:** (954) 265-2423 · **Fax:** (954) 961-4860
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 14 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Neurology (8), Nurse Practitioner (3), Clinical Psychologist (1); 1 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1962706721) · Data from the CMS NPPES public registry.