Lauren Mikel Broadway, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME124016 Issued in FL

Practice address

417 Commercial CT Ste C
Venice, FL 34292-1655

Phone

(941) 220-0300

Fax

(941) 220-0400

NPI assigned

Mar 27, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Florida Medical Specialists LLCGroup PAC ID 5799786687, 125 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087
• Sarasota Memorial Hospital - Venice Hospital, North Venice, FL, CCN 100359

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Florida Medical Specialists LLC

  • Hematology & Oncology Physician
  • Sarasota, FL
  • NPI 1750399598
  Medicare reassignment Care Compare group NPD
• Advocatemd Operations, LLC

  • Family Medicine Physician
  • Venice, FL
  • NPI 1306413356
  Medicare reassignment NPD
• Wellyou RX

  • Adult Medicine Physician
  • St Petersburg, FL
  • NPI 1942163076
  NPD Authorized official
• Florida Medical Specialists LLC

  • Hematology & Oncology Physician
  • Lakewood Ranch, FL
  • NPI 1891419925
  NPD
• Florida Medical Specialists, LLC

  • Physical Medicine & Rehabilitation Physician
  • Sarasota, FL
  • NPI 1407296130
  NPD
• Best Value Healthcare LLC

  • Internal Medicine Physician
  • Clearwater, FL
  • NPI 1790152015
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sarasota County Public Hospital District

  • General Acute Care Hospital
  • North Venice, FL
  • NPI 1013534445
  Care Compare affiliation
• Sarasota County Public Hospital District

  • General Acute Care Hospital
  • Sarasota, FL
  • NPI 1245294826
  Care Compare affiliation

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1811263643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 COMMERCIAL CT STE C",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342921655",
            "telephone_number": "941-220-0300",
            "fax_number": "941-220-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 COMMERCIAL CT STE C",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342921655",
            "telephone_number": "941-220-0300",
            "fax_number": "941-220-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROADWAY",
        "first_name": "LAUREN",
        "middle_name": "MIKEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-27",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME124016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL BLUE",
            "identifier": "1513S",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lauren.broadway.3@24548.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "lauren.broadway.3@24548.direct.athenahealth.com",
            "address_1": "417 Commercial Ct Ste C",
            "city": "Venice",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342921655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carlos Manuel Bravo, PHARM D
• Houston Brice, DMD
• Bridge Care LLC
• Brian T Briggs, MD
• Kimberly Louise Brimlow, COTA/L
• Alexander Moore Brocato, OD
• Michael Broder, O.D.
• Kelly C Brothers, DPT
• Cassandra Davis Brower
• Richard Allen Brown, RPH

• Family Medicine Physician in Venice, FL
• Providers in Venice, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.