Organization Active NPI

The Broadhurst Group, Inc.

  • Nursing Facility Supplies (DME)
  • Louisville, KY
National Provider Identifier
1346366077
Registry record updated Oct 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility Supplies (DME)Taxonomy code 332BN1400X
Legal business name
THE BROADHURST GROUP, INC.
Practice address
12700 Shelbyville Rd
The Cumberland Building
Louisville, KY 40243-1576
Phone
(502) 254-4200
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2008

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

Authorized official

Name
Mr. W Richard Marshall
Title
Vice President Cfo
Phone
(502) 254-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility Supplies (DME) 332BN1400X KY Primary

Addresses

Primary practice location

12700 Shelbyville Rd
The Cumberland Building
Louisville, KY 40243-1576

Mailing address

12700 Shelbyville Rd
The Cumberland Building
Louisville, KY 40243-1576

Other identifiers 1

IdentifierTypeStateIssuer
90129560MedicaidKY

National Provider Directory

National Provider Directory
Tax ID family
The Broadhurst Group Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224028800000",
    "number": "1346366077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12700 SHELBYVILLE RD",
            "address_2": "THE CUMBERLAND BUILDING",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12700 SHELBYVILLE RD",
            "address_2": "THE CUMBERLAND BUILDING",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431576",
            "telephone_number": "502-254-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BROADHURST GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2008-10-15",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "W",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "VICE PRESIDENT CFO",
        "authorized_official_telephone_number": "502-254-4200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90129560",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.