Broadway Lifeforce Corporation

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BROADWAY LIFEFORCE CORPORATION

Practice address

6829 Broadway Ave
Cleveland, OH 44105-1313

Phone

(216) 271-1133

Fax

(216) 271-1325

NPI assigned

May 23, 2011

Organization subpart

No

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

Authorized official

Name

James G. O'Reilly, DC

Title

Owner

Phone

(216) 271-1133

Specialties & licenses 1

Addresses

Other names 1

• Broadway Orthopedics & Sports Medicine Doing business as

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

{
    "created_epoch": "1306108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440979200000",
    "number": "1255624342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8549 ANTLERS TRL",
            "city": "N RIDGEVILLE",
            "state": "OH",
            "postal_code": "440396406",
            "telephone_number": "216-271-1133",
            "fax_number": "216-271-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6829 BROADWAY AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441051313",
            "telephone_number": "216-271-1133",
            "fax_number": "216-271-1325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY LIFEFORCE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-23",
        "last_updated": "2015-08-31",
        "status": "A",
        "authorized_official_last_name": "O'REILLY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-271-1133",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broadway Orthopedics & Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Latoya Broadus
• Rose Ann Broadus
• Broadway Academy, Inc.
• Broadway Chiropractic and Therapy Center Inc
• Broadway Family Dental Presented by Dr. Tariq Sayegh BDS LLC
• Victoria Brobbey, MD
• Amber Brochetti, MPT
• Kevin Brochetti, DPT
• Jessica Taylor Brock, DO
• Tammara Brock

• Chiropractor in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.