Broadway Surgery Specialists

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

BROADWAY SURGERY SPECIALISTS

Practice address

1101 E Broadway Ste 200
Glendale, CA 91205-1396

Phone

(818) 500-9286

NPI assigned

Apr 7, 2023

Last updated

Apr 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stepan Kasimian, MDNPI 1720003619

Title

President

Phone

(818) 720-6811

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Stepan Kasimian, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Glendale, CA
  • NPI 1720003619
  NPD Authorized official

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

{
    "created_epoch": "1680825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680825600000",
    "number": "1659066355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 E BROADWAY STE 201",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051396",
            "telephone_number": "213-361-7038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 E BROADWAY STE 200",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051396",
            "telephone_number": "818-500-9286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY SURGERY SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-07",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A",
        "authorized_official_last_name": "KASIMIAN",
        "authorized_official_first_name": "STEPAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-720-6811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Broadway Imaging Medical Center
• Broadway Laser Surgical Institute, Inc.
• Broadway Manor Care Center LLC (Broadway Manor Care Center)
• Broadway Med Group, Inc (Broadway Pharmacy)
• Broadway Smile Boutique
• Broadway Wellness Center (Serenity Sleep Centers)
• Broadway Wellness Center, Inc.
• Janette Brocklehurst, M.A., BCBA
• Delaney Bromberek
• Brookside Anesthesia Group

• Orthopaedic Surgery Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; 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.