Organization Active NPI

Broward Pain and Wellness Inc

  • Chiropractor
  • Pompano Beach, FL
National Provider Identifier
1134591456
Registry record updated Oct 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10780 Issued in FL
Legal business name
BROWARD PAIN AND WELLNESS INC
Practice address
2745 E Atlantic Blvd
Site302
Pompano Beach, FL 33062-4952
Phone
(954) 960-2227
NPI assigned
Oct 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2015

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

Authorized official

Name
Dr. Larry Frydman II, DCNPI 1912319971
Title
Owner/President
Phone
(786) 252-3397

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH10780 FL Primary

Addresses

Primary practice location

2745 E Atlantic Blvd
Site302
Pompano Beach, FL 33062-4952

Mailing address

2673 E. Atlantic Blvd.
#145
Pompano Beach, FL 33062
Phone (786) 252-3397

National Provider Directory

National Provider Directory

Locations

2745 E Atlantic Blvd
Ste 302
Pompano Beach, FL 33062
Phone (786) 252-3397

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445817600000",
    "number": "1134591456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2673 E. ATLANTIC BLVD.",
            "address_2": "#145",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "33062",
            "telephone_number": "786-252-3397",
            "fax_number": "800-298-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2745 E ATLANTIC BLVD",
            "address_2": "SITE302",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330624952",
            "telephone_number": "954-960-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWARD PAIN AND WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-26",
        "last_updated": "2015-10-26",
        "status": "A",
        "authorized_official_last_name": "FRYDMAN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "786-252-3397",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10780",
            "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 Oct 26, 2015; 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.