PREMIERE PERINATAL ASSOCIATES – Maternal & Fetal Medicine Physician, NPI 1417906561

PREMIERE PERINATAL ASSOCIATES is a healthcare provider. based in Ft lauderdale, Florida. specializing in Maternal & Fetal Medicine Physician. The organization holds a License No. ME43546 (FL). The NPI Number for PREMIERE PERINATAL ASSOCIATES is 1417906561

Main info

Organization
Name
PREMIERE PERINATAL ASSOCIATES
NPI
1417906561
Phone
(919) 425-1565
Address
500 SE 17TH ST
Authorized Official
DR. BERTRAM WALLS OWNER/PRESIDENT MD
Enumeration Date
8 May 2006
Last Update Date
17 September 2019
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for PREMIERE PERINATAL ASSOCIATES

  • 500, Southeast 17th Street, Fort Lauderdale, Broward County, Florida, 33316, United States

    SUITE 100

    FT LAUDERDALE, FL 333162547

    Phone: (919) 425-1565

    Fax: (919) 425-0478

    Type: Mailing

  • Broward Health, 200, Northwest 7th Avenue, Fort Lauderdale, Broward County, Florida, 33311, United States

    PREMIERE PERINATAL ASSOCIATES

    FT LAUDERDALE, FL 333119026

    Phone: (954) 759-6789

    Fax: (919) 425-0478

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33316)

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Reviews

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Frequently asked questions

How is PREMIERE PERINATAL ASSOCIATES identified in CMS data?
CMS-hosted NPPES data lists PREMIERE PERINATAL ASSOCIATES with NPI 1417906561.
Can I rely on PREMIERE PERINATAL ASSOCIATES being an active provider?
As of the registry snapshot, PREMIERE PERINATAL ASSOCIATES is marked active.
What taxonomy line describes PREMIERE PERINATAL ASSOCIATES?
For research purposes, treat PREMIERE PERINATAL ASSOCIATES as Maternal & Fetal Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for PREMIERE PERINATAL ASSOCIATES?
PREMIERE PERINATAL ASSOCIATES's geographic hint is Ft Lauderdale, Florida in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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