Broadview Enterprises LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

BROADVIEW ENTERPRISES LLC

Doing business as

Broadview Medical Center

Practice address

4222 Bell Rd Ste 5
Newburgh, IN 47630-2541

Phone

(812) 758-3032

Fax

(812) 490-1025

NPI assigned

Sep 25, 2020

Organization subpart

No

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

Authorized official

Name

Donald D Vaughn, NP

Title

President

Phone

(812) 758-3032

Specialties & licenses 1

Addresses

Other names 1

• Broadview Medical Center Doing business as

Locations

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613433600000",
    "number": "1093322984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28227",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049152034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4222 BELL RD STE 5",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476302541",
            "telephone_number": "812-758-3032",
            "fax_number": "812-490-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADVIEW ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-25",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-758-3032",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broadview Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Broadview Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; 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.