Steven Jared Broadway, M.D.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

53685 Issued in MN

Practice address

2829 University Dr S Ste 202
Fargo, ND 58103-6050

Phone

(701) 356-7444

Fax

(701) 478-0309

NPI assigned

Jul 20, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN, ND2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/e35355ac-dfca-48b9-9dd9-0b7c408c2a66/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northern Neurosurgery and Spine PLC

  • Clinic/Center
  • West Fargo, ND
  • NPI 1386281475

  MN, ND

  Medicare reassignment Care Compare group NPD Authorized official
• Community Memorial Hospital Association

  • Critical Access Hospital
  • Cloquet, MN
  • NPI 1003869082

  MN

  Medicare reassignment Care Compare group NPD
• Lake Region Healthcare Corporation

  • Critical Access Hospital
  • Elbow Lake, MN
  • NPI 1407838329

  MN

  Medicare reassignment Care Compare group
• Lake Region Healthcare Corporation

  • Critical Access Hospital
  • Fergus Falls, MN
  • NPI 1285525436
  Care Compare group NPD
• Lake Region Healthcare Corporation

  • Durable Medical Equipment & Medical Supplies
  • Fergus Falls, MN
  • NPI 1942191119
  Care Compare group NPD
• Community Memorial Hospital Association

  • Medicare Defined Swing Bed Hospital Unit
  • Cloquet, MN
  • NPI 1255496188
  Care Compare group
• Community Memorial Hospital Association

  • Dialysis Equipment & Supplies (DME)
  • Cloquet, MN
  • NPI 1528103652
  Care Compare group
• Lake Region Healthcare Corporation

  • General Acute Care Hospital
  • Fergus Falls, MN
  • NPI 1093713372
  NPD
• Lake Region Healthcare Corporation

  • Chiropractor
  • Fergus Falls, MN
  • NPI 1265148480
  NPD
• Lake Region Healthcare Corporation

  • Primary Care Clinic/Center
  • Barnesville, MN
  • NPI 1912899626
  NPD
• Northern Medical Strategies LLC

  • Ambulatory Surgical Clinic/Center
  • Duluth, MN
  • NPI 1245969179
  NPD
• West Central Internal Medicine

  • Clinic/Center
  • Morris, MN
  • NPI 1750481958
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Innovis Health, LLC

  • General Acute Care Hospital
  • Fargo, ND
  • NPI 1215125463

  Hospital

  Care Compare affiliation
• Community Memorial Hospital Association

  • Critical Access Hospital
  • Cloquet, MN
  • NPI 1003869082

  Hospital

  Care Compare affiliation
• Lake Region Healthcare Corporation

  • Critical Access Hospital
  • Fergus Falls, MN
  • NPI 1285525436

  Hospital

  Care Compare affiliation
• Lake Region Healthcare Corporation

  • Critical Access Hospital
  • Elbow Lake, MN
  • NPI 1407838329

  Hospital

  Care Compare affiliation

Specialty

Neurosurgery

Education

University of Arkansas College of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northern Neurosurgery and Spine PLC 4 clinicians

Community Memorial Hospital Association 47 clinicians

Prairie Ridge Hospital and Health Services 90 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Essentia Health Hospital, Fargo, ND, CCN 350070
• Prairie Ridge Hospital and Health Services Hospital, Elbow Lake, MN, CCN 241379
• Community Memorial Hospital Hospital, Cloquet, MN, CCN 241364
• Lake Region Healthcare Corporation Hospital, Fergus Falls, MN, CCN 240052

Procedures performed for Medicare patients

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1457551228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 UNIVERSITY DR S STE 202",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036050",
            "telephone_number": "701-356-7444",
            "fax_number": "701-478-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 UNIVERSITY DR S STE 202",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036050",
            "telephone_number": "701-356-7444",
            "fax_number": "701-478-0309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 East 3rd Street",
            "address_2": "Essentia Health Duluth Clinic, Third Street Building",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558051951",
            "country_code": "US",
            "telephone_number": "218-786-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROADWAY",
        "first_name": "STEVEN",
        "middle_name": "JARED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-20",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MN",
            "license": "53685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William D Brink, LAC
• Joni Britton
• Nekesha Britton
• Walter C Bro, MD
• Edie Broadbent
• Christina E Broadwell, M.D.
• Angela Joy Brockmeyer, LPN
• Kelly Lynn Brodsho, RPH
• Vicki L Brodsho, RPH
• Natalya U Bronson, MD

• All providers in Fargo, ND
• Neurological Surgery Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.