Active NPI
Broward Institute of Orthopaedic Specialties LLC
- Orthopaedic Surgery Physician
- Pembroke Pines, FL
National Provider Identifier
1073629903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- BROWARD INSTITUTE OF ORTHOPAEDIC SPECIALTIES LLC
- Practice address
- 601 N Flamingo Rd
Suite 101
Pembroke Pines, FL 33028-1015 - Phone
- (954) 962-3508
- NPI assigned
- Aug 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey Worth, MD
- Title
- Owner
- Phone
- (954) 962-3508
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
601 N Flamingo Rd
Suite 101
Pembroke Pines, FL 33028-1015
Mailing address
4440 Sheridan St
Hollywood, FL 33021-3535
Phone (954) 962-3508
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040406000061 | FL | Part B Supplier - Clinic/Group Practice | 3779576814 |
Receives reassigned benefits from 5 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Hollywood, FL; Pembroke Pines, FL |
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Orthopaedic Surgery Physician
- Hollywood, FL
- NPI 1184636458
O20040406000061
-
- Orthopaedic Surgery Physician
- Hollywood, FL
- NPI 1285646547
O20040406000061
-
- Orthopaedic Surgery Physician
- Aventura, FL
- NPI 1326755174
O20040406000061
-
- Orthopaedic Surgery Physician
- Hollywood, FL
- NPI 1932216918
O20040406000061
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://fhir4.healow.com/fhir/r4/GCIIBA
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Hollywood, FL
- NPI 1033141304
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208131200000",
"number": "1073629903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4440 SHERIDAN ST",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330213535",
"telephone_number": "954-962-3508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 N FLAMINGO RD",
"address_2": "SUITE 101",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330281015",
"telephone_number": "954-962-3508"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROWARD INSTITUTE OF ORTHOPAEDIC SPECIALTIES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-22",
"last_updated": "2008-04-14",
"status": "A",
"authorized_official_last_name": "WORTH",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "954-962-3508",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
- Broward County Exterminating
- Broward Dermatology LLC
- Broward Dermatology, LLC
- Broward Home Health Care Services, Corp
- Broward Home Health Care, Inc.
- Broward Institute of Orthopaedic Specialties LLC
- Broward Medical Physician Associates Inc
- Broward Oral Surgery PA
- Broward Primary Care LLC
- Broward Psychological Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.