Active NPI
ZN Healthcare Services, PLLC
Doing business as Broadway Family Clinic
- Family Medicine Physician
- Pearland, TX
National Provider Identifier
1821604000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ZN HEALTHCARE SERVICES, PLLC
- Doing business as
- Broadway Family Clinic
- Practice address
- 2405 Barton Shore Dr
Pearland, TX 77584-3952 - Phone
- (832) 462-9574
- NPI assigned
- Sep 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kashif Ahmed Siddiqui
- Title
- Owner
- Phone
- (832) 462-9574
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X |
Addresses
Primary practice location
2405 Barton Shore Dr
Pearland, TX 77584-3952
Mailing address
2405 Barton Shore Dr
Pearland, TX 77584-3952
Phone (832) 462-9574
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P2788 | Other | TX | LICENSE |
Other names 1
- Broadway Family Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3129 Kingsley Dr
Ste 340
Pearland, TX 77584
Phone (346) 209-0885
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Pearland, TX
- NPI 1346478419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600732800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1616544000000",
"number": "1821604000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2405 BARTON SHORE DR",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775843952",
"telephone_number": "832-462-9574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2405 BARTON SHORE DR",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775843952",
"telephone_number": "832-462-9574"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ZN HEALTHCARE SERVICES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-22",
"last_updated": "2021-03-24",
"certification_date": "2021-03-24",
"status": "A",
"authorized_official_last_name": "SIDDIQUI",
"authorized_official_first_name": "KASHIF",
"authorized_official_middle_name": "AHMED",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "832-462-9574"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207QG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "P2788",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Broadway Family Clinic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Broadway Family Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.