Broadmed LLC

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

BROADMED LLC

Practice address

14268 Lacey Dr
Lemont, IL 60439-8549

Phone

(630) 414-9335

NPI assigned

May 22, 2024

Last updated

May 22, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrey Sam, DONPI 1912588138

Title

Physician

Phone

(630) 414-9335

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey Sam, DO

  • Internal Medicine Physician
  • Lemont, IL
  • NPI 1912588138
  NPD Authorized official

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1083453849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14268 LACEY DR",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604398549",
            "telephone_number": "630-414-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14268 LACEY DR",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604398549",
            "telephone_number": "630-414-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADMED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "SAM",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "630-414-9335",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Black Diamond Psychological Services, PLLC
• Danielle Blakemore
• Katharyn Michael Boyne
• Rebecca Bozue, MA CCC-SLP
• Darci Lynn Brasseur, LPC
• Michael Anthony Buck, DPM
• Vicki J Burton, PHARMD, CGP
• Samantha Marie Bushnell
• Susan M Cahill, PHD, OTR/L
• Cristy M Calderon, BCBA

• General Acute Care Hospital in Lemont, IL
• Providers in Lemont, IL by specialty
• General Acute Care Hospital in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.