Broadway Foot & Ankle Center

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

BROADWAY FOOT & ANKLE CENTER

Practice address

1807 S Broadway
Camden, NJ 08104-1333

Phone

(609) 332-6187

Fax

(856) 854-7969

NPI assigned

Mar 13, 2012

Organization subpart

No

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

Authorized official

Name

Dr. David C Kraatz, DPM

Title

Physician

Phone

(856) 854-3093

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331683200000",
    "number": "1720353444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 116",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080330102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 S BROADWAY",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081041333",
            "telephone_number": "609-332-6187",
            "fax_number": "856-854-7969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY FOOT & ANKLE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-03-14",
        "status": "A",
        "authorized_official_last_name": "KRAATZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "856-854-3093",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Craig Brenner, M.D.
• Sheppard Robert Brewster, NP
• Kristin L Brill, MD
• Broadway Community Health Care, Inc
• Broadway Discount Pharmacy Inc
• Marion B. Brody, MD
• Carly Ana Brogan
• Holly L. Brogan, CRNA
• Leah Brogan, PHD
• Tanya Monique Bronzell-Wynder, DNP, CRNP

• Foot & Ankle Surgery Podiatrist in Camden, NJ
• Providers in Camden, NJ by specialty
• Foot & Ankle Surgery Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; 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.