Organization Active NPI

The Broward Center for Pain and Injury, LLC

  • Chiropractor
  • Pompano Beach, FL
National Provider Identifier
1356636955
Registry record updated Nov 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7927 Issued in FL
Legal business name
THE BROWARD CENTER FOR PAIN AND INJURY, LLC
Practice address
2450 N Powerline Rd
Suite 26
Pompano Beach, FL 33069-1051
Phone
(954) 776-1880
Fax
(954) 776-1808
NPI assigned
Jun 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2013

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

Authorized official

Name
Ms. Karen Vulgamore
Title
Manager
Phone
(954) 640-4040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH7927 FL Primary

Addresses

Primary practice location

2450 N Powerline Rd
Suite 26
Pompano Beach, FL 33069-1051

Mailing address

2450 N Powerline Rd
Suite 26
Pompano Beach, FL 33069-1051
Phone (954) 776-1880

Other identifiers 1

IdentifierTypeStateIssuer
382263000MedicaidFL

National Provider Directory

National Provider Directory

Locations

6555 Powerline Rd
Ste 103
Ft Lauderdale, FL 33309
Phone (954) 640-4040

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": "1307923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384819200000",
    "number": "1356636955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 N POWERLINE RD",
            "address_2": "SUITE 26",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330691051",
            "telephone_number": "954-776-1880",
            "fax_number": "954-776-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 N POWERLINE RD",
            "address_2": "SUITE 26",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330691051",
            "telephone_number": "954-776-1880",
            "fax_number": "954-776-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BROWARD CENTER FOR PAIN AND INJURY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-13",
        "last_updated": "2013-11-19",
        "status": "A",
        "authorized_official_last_name": "VULGAMORE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-640-4040",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "382263000",
            "state": "FL"
        }
    ],
    "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 Nov 19, 2013; 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.