NPIMap

Organization Active NPI

Broomfield Orthopedic Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Broomfield, CO
National Provider Identifier
1487345328
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
BROOMFIELD ORTHOPEDIC SURGERY CENTER, LLC
Practice address
1185 State Hwy 7
Broomfield, CO 80023-9403
Phone
(303) 449-2730
Fax
(303) 449-5821
NPI assigned
May 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Authorized official

Name
Sherri A Lewis
Title
Director of Revenue Cycle Managemen
Phone
(720) 504-6915

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

1185 State Hwy 7
Broomfield, CO 80023-9403

Mailing address

4740 Pearl Pkwy Ste 200
Boulder, CO 80301-3080
Phone (303) 449-2730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230802000035 CO Part B Supplier - Ambulatory Surgical Center 2668833062 Practice locations: Broomfield, CO

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Broomfield Orthopedic Surgery Center LLCCCN 06C0001205
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Broomfield Orthopedic Surg2 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.

Locations

1185 State Highway 7
Ste 100
Broomfield, CO 80023
Phone (425) 803-3885

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.

Practitioners & affiliated clinicians

Practitioners 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684454400000",
    "number": "1487345328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4740 PEARL PKWY STE 200",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803013080",
            "telephone_number": "303-449-2730",
            "fax_number": "303-440-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 STATE HWY 7",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800239403",
            "telephone_number": "303-449-2730",
            "fax_number": "303-449-5821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOMFIELD ORTHOPEDIC SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-19",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-09",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE MANAGEMEN",
        "authorized_official_telephone_number": "720-504-6915"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.