Organization Active NPI

Broward Fall Prevention Center

  • Clinic/Center
  • Lauderhill, FL
National Provider Identifier
1376596874
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
K2495 Issued in FL
Legal business name
BROWARD FALL PREVENTION CENTER
Practice address
4486 N University Dr
Lauderhill, FL 33351-4513
Phone
(954) 572-1000
Fax
(954) 572-9200
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Kenneth Berg
Title
President
Phone
(954) 572-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X K2495 FL Primary

Addresses

Primary practice location

4486 N University Dr
Lauderhill, FL 33351-4513

Mailing address

4486 N University Dr
Lauderhill, FL 33351-4513
Phone (954) 572-1000

National Provider Directory

National Provider Directory

Locations

8338 W Oakland Park Blvd
Sunrise, FL 33351
Phone (954) 634-0390

Practitioners & affiliated clinicians

Practitioners 3

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": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1376596874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4486 N UNIVERSITY DR",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333514513",
            "telephone_number": "954-572-1000",
            "fax_number": "954-572-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4486 N UNIVERSITY DR",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333514513",
            "telephone_number": "954-572-1000",
            "fax_number": "954-572-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWARD FALL PREVENTION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-572-1000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "K2495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderhill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.