Broadway Medical Transport

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

BROADWAY MEDICAL TRANSPORT

Practice address

1351 Broadway
El Cajon, CA 92021-5811

Phone

(619) 383-6703

Fax

(866) 473-3324

NPI assigned

Nov 8, 2024

Organization subpart

No

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

Authorized official

Name

Iris Castillo

Title

Office Manager

Phone

(619) 651-6393

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Jimi O Benson Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jimi O. Benson, M.D.

  • Internal Medicine Physician
  • El Cajon, CA
  • NPI 1477751667
  NPD

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

{
    "created_epoch": "1731024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1467276246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 BROADWAY",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920215811",
            "telephone_number": "619-383-6703",
            "fax_number": "866-473-3324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 BROADWAY",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920215811",
            "telephone_number": "619-383-6703",
            "fax_number": "866-473-3324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY MEDICAL TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-08",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "IRIS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "619-651-6393"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0758740",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1467276246",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jimi O Benson",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Jimi O Benson",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Brian T. Holmes, D. C. , a Chiropractic Corporation
• Brian Y. Suzuki, DMD, Inc
• Bright Path Transportation Inc
• Terry Brightwell
• Anselmo Brillon Jr., LPCC 13752
• Joy Marisa Brodfuehrer, PHARMD
• Anthony Broussard
• Ashley Marie Brown, NP
• Brian William Brown
• Cheyenne Brown

• Non-emergency Medical Transport (VAN) in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Non-emergency Medical Transport (VAN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.