Organization Active NPI

Broadview Health, PA

  • Sleep Disorder Diagnostic Clinic/Center
  • Monroe, NC
National Provider Identifier
1528317815
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
License
2009-00832 Issued in NC
Legal business name
BROADVIEW HEALTH, PA
Practice address
349 Venus St
Monroe, NC 28112-4025
Phone
(704) 635-7418
Fax
(704) 635-7500
NPI assigned
Sep 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Authorized official

Name
Dr. Rasheed Adeyinka Onafuye, M.D
Title
Medical Director
Phone
(336) 354-6126

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
Sleep Disorder Diagnostic Clinic/Center 261QS1200X 2009-00832 NC Primary

Addresses

Primary practice location

349 Venus St
Monroe, NC 28112-4025

Mailing address

200 E Jefferson St
Monroe, NC 28112-4863
Phone (336) 354-6126

Other practice location 1

200 E Jefferson St
Monroe, NC 28112-4863
Phone (336) 354-6126

National Provider Directory

National Provider Directory

Locations

249 Venus St
Monroe, NC 28112
Phone (704) 635-7418

349 Venus St
Monroe, NC 28112
Phone (704) 321-3376

249 Venus St
Monroe, NC 28112
Phone (704) 635-4718

NPI Registry JSON

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

{
    "created_epoch": "1346630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629936000000",
    "number": "1528317815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E JEFFERSON ST",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281124863",
            "telephone_number": "336-354-6126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 VENUS ST",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281124025",
            "telephone_number": "704-635-7418",
            "fax_number": "704-635-7500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 E Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "NC",
            "postal_code": "281124863",
            "country_code": "US",
            "telephone_number": "336-354-6126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BROADVIEW HEALTH, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-03",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A",
        "authorized_official_last_name": "ONAFUYE",
        "authorized_official_first_name": "RASHEED",
        "authorized_official_middle_name": "ADEYINKA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "336-354-6126",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "NC",
            "license": "2009-00832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.