NPIMap

Organization Active NPI

Broward Institute of Orthopaedic Specialties LLC

  • Orthopaedic Surgery Physician
  • Hollywood, FL
National Provider Identifier
1184636458
Registry record updated Jul 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
BROWARD INSTITUTE OF ORTHOPAEDIC SPECIALTIES LLC
Practice address
3700 Washington St
Suite 200
Hollywood, FL 33021-8256
Phone
(954) 966-6450
NPI assigned
Aug 13, 2006
Last updated
Jul 31, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2009

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

Authorized official

Name
Jeffrey Worth, MDNPI 1447279070
Title
Owner
Phone
(954) 962-3508

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
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

3700 Washington St
Suite 200
Hollywood, FL 33021-8256

Mailing address

3389 Sheridan St
Suite 100
Hollywood, FL 33021-3606
Phone (954) 966-6450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040406000061 FL Part B Supplier - Clinic/Group Practice 3779576814 Receives reassigned benefits from 5 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hollywood, FL; Pembroke Pines, FL

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

3475 Sheridan St
Ste 100
Hollywood, FL 33021
Phone (954) 961-6104

4400 Sheridan St
Hollywood, FL 33021
Phone (954) 963-3500

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248998400000",
    "number": "1184636458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3389 SHERIDAN ST",
            "address_2": "SUITE 100",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213606",
            "telephone_number": "954-966-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 WASHINGTON ST",
            "address_2": "SUITE 200",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218256",
            "telephone_number": "954-966-6450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWARD INSTITUTE OF ORTHOPAEDIC SPECIALTIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2009-07-31",
        "status": "A",
        "authorized_official_last_name": "WORTH",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-962-3508",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.