Organization Active NPI

North Broward Neurosurgery Inc

  • Specialist
  • Pompano Beach, FL
National Provider Identifier
1093991622
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0067422 Issued in FL
Legal business name
NORTH BROWARD NEUROSURGERY INC
Practice address
1600 S Federal Hwy
Suite 640
Pompano Beach, FL 33062-7500
Phone
(954) 545-4045
Fax
(954) 545-4614
NPI assigned
Jan 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Authorized official

Name
Mr. Richard Mark Foltz, M.D.
Title
President
Phone
(954) 545-4045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME0067422 FL Primary

Addresses

Primary practice location

1600 S Federal Hwy
Suite 640
Pompano Beach, FL 33062-7500

Mailing address

1600 S Federal Hwy
Suite 640
Pompano Beach, FL 33062-7500
Phone (954) 545-4045

National Provider Directory

National Provider Directory

Locations

5757 N Dixie Hwy
Rm 111
Oakland Park, FL 33334
Phone (954) 776-1446

1600 S Federal Hwy
Ste 640
Pompano Beach, FL 33062
Phone (954) 545-4045

NPI Registry JSON

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1093991622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 S FEDERAL HWY",
            "address_2": "SUITE 640",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330627500",
            "telephone_number": "954-545-4045",
            "fax_number": "954-545-4614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S FEDERAL HWY",
            "address_2": "SUITE 640",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330627500",
            "telephone_number": "954-545-4045",
            "fax_number": "954-545-4614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BROWARD NEUROSURGERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "FOLTZ",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-545-4045",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0067422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.