NPIMap

Organization Active NPI

Broward ENT Consultants LLC

  • Otolaryngology Physician
  • Coral Springs, FL
National Provider Identifier
1790775112
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
ME85117 Issued in FL
Legal business name
BROWARD ENT CONSULTANTS LLC
Practice address
5511 N University Dr
Suite 101B
Coral Springs, FL 33067-4646
Phone
(954) 755-4002
Fax
(954) 755-5010
NPI assigned
Oct 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Authorized official

Name
Ram Kumar Madasu, M.D.
Title
Physician
Phone
(954) 755-4002

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Y00000X ME85117 FL Primary
Pediatric Otolaryngology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207YP0228X ME85117 FL
Facial Plastic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207YS0123X ME85117 FL
Otolaryngic Allergy PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207YX0602X ME85117 FL

Addresses

Primary practice location

5511 N University Dr
Suite 101B
Coral Springs, FL 33067-4646

Mailing address

5511 N University Dr
Suite 101B
Coral Springs, FL 33067-4646
Phone (954) 755-4002

Other identifiers 1

IdentifierTypeStateIssuer
51399AOtherFLBCBS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1790775112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5511 N UNIVERSITY DR",
            "address_2": "SUITE 101B",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674646",
            "telephone_number": "954-755-4002",
            "fax_number": "954-755-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5511 N UNIVERSITY DR",
            "address_2": "SUITE 101B",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674646",
            "telephone_number": "954-755-4002",
            "fax_number": "954-755-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWARD ENT CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "MADASU",
        "authorized_official_first_name": "RAM",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "954-755-4002",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME85117",
            "primary": true
        },
        {
            "code": "207YP0228X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "FL",
            "license": "ME85117",
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "FL",
            "license": "ME85117",
            "primary": false
        },
        {
            "code": "207YX0602X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "FL",
            "license": "ME85117",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51399A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.