Organization Active NPI

Broward Medical Group LLC

  • Internal Medicine Physician
  • Ft Lauderdale, FL
National Provider Identifier
1144464348
Registry record updated May 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BROWARD MEDICAL GROUP LLC
Practice address
1226 SW 3Rd Ave
Ft Lauderdale, FL 33315-1507
Phone
(954) 257-0222
Fax
(954) 763-3544
NPI assigned
May 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2009

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

Authorized official

Name
Dr. Husman Khan, M.D.
Title
President
Phone
(954) 527-0222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1226 SW 3Rd Ave
Ft Lauderdale, FL 33315-1507

Mailing address

1226 SW 3Rd Ave
Ft Lauderdale, FL 33315-1507
Phone (954) 527-0222

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1241136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241136000000",
    "number": "1144464348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 SW 3RD AVE",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333151507",
            "telephone_number": "954-527-0222",
            "fax_number": "954-763-3544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 SW 3RD AVE",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333151507",
            "telephone_number": "954-257-0222",
            "fax_number": "954-763-3544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWARD MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-01",
        "last_updated": "2009-05-01",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "HUSMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-527-0222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; 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.