NPIMap

Organization Active NPI

Broomfield Pediatrics PLLC

  • Pediatrics Physician
  • Broomfield, CO
National Provider Identifier
1053526541
Registry record updated Dec 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35049 Issued in CO
Legal business name
BROOMFIELD PEDIATRICS PLLC
Practice address
3301 W 144TH Ave
Ste 200
Broomfield, CO 80023
Phone
(303) 438-5522
Fax
(303) 438-5686
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cynthia M Kremer
Title
Practice Manager
Phone
(303) 438-5522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 35049 CO Primary

Addresses

Primary practice location

3301 W 144TH Ave
Ste 200
Broomfield, CO 80023

Mailing address

3301 W 144TH Ave
Ste 200
Broomfield, CO 80023
Phone (303) 438-5522

Other identifiers 1

IdentifierTypeStateIssuer
01350495MedicaidCO

Other names 1

  • Broomfield Pediatrics Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230595200000",
    "number": "1053526541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 W 144TH AVE",
            "address_2": "STE 200",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "80023",
            "telephone_number": "303-438-5522",
            "fax_number": "303-438-5686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 W 144TH AVE",
            "address_2": "STE 200",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "80023",
            "telephone_number": "303-438-5522",
            "fax_number": "303-438-5686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOMFIELD PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2008-12-30",
        "status": "A",
        "authorized_official_last_name": "KREMER",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "303-438-5522"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "35049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01350495",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broomfield Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.