Broadlawns Medical Center

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

Legal business name

BROADLAWNS MEDICAL CENTER

Practice address

1801 Hickman Road
Des Moines, IA 50314

Phone

(515) 282-2200

Fax

(515) 282-3234

NPI assigned

Nov 7, 2005

Reactivated

Apr 3, 2008

Last updated

Apr 3, 2008By 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

Jody J Jenner

Title

Chief Executive Officer

Phone

(515) 282-2234

Specialties & licenses 1

Addresses

Other names 1

• Sands Mental Health Center Other name

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207180800000",
    "number": "1922089002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 HICKMAN ROAD",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "50314",
            "telephone_number": "515-282-2200",
            "fax_number": "515-282-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 HICKMAN ROAD",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "50314",
            "telephone_number": "515-282-2200",
            "fax_number": "515-282-3234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADLAWNS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-07",
        "last_updated": "2008-04-03",
        "deactivation_date": "2007-11-09",
        "reactivation_date": "2008-04-03",
        "status": "A",
        "authorized_official_last_name": "JENNER",
        "authorized_official_first_name": "JODY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "515-282-2234"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sands Mental Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Broadlawns Medical Center
• Broadlawns Medical Center
• Broadlawns Medical Center
• Broadlawns Medical Center
• Broadlawns Medical Center
• Broadlawns Medical Center
• Toni Maria Broberg, LCSW, LISW
• Tara Brockman, D.O.
• Mikayla Marie Brockmeyer, DO
• Danielle N Brodersen, NP

• Psychiatric Hospital Unit in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Psychiatric Hospital Unit in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.