Organization Active NPI

Broward Institute of Orthopaedic Specialties LLC

  • Orthopaedic Surgery Physician
  • Hollywood, FL
National Provider Identifier
1932216918
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
BROWARD INSTITUTE OF ORTHOPAEDIC SPECIALTIES LLC
Practice address
4400 Sheridan St
Hollywood, FL 33021-3514
Phone
(954) 963-3500
Fax
(954) 964-2049
NPI assigned
Aug 24, 2006
Last updated
Jun 13, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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

Authorized official

Name
Jeffrey Worth, MDNPI 1447279070
Title
Owner
Phone
(954) 962-3508

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X Primary

Addresses

Primary practice location

4400 Sheridan St
Hollywood, FL 33021-3514

Mailing address

4400 Sheridan St
Hollywood, FL 33021-3514
Phone (954) 963-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040406000061 FL Part B Supplier - Clinic/Group Practice 3779576814 Receives reassigned benefits from 5 practitioners
4 other NPIs on this enrollment
Practice locations: Hollywood, FL; Pembroke Pines, FL
O20100930056879 FL DME Supplier - Physician - Orthopedic/Orthopedic Surgery 3779576814 Practice locations: Hollywood, FL

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

2801 NE 213th St
Ste 809
Aventura, FL 33180
Phone (305) 532-0065

4310 Sheridan St
Hollywood, FL 33021
Phone (954) 963-8177

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560384000000",
    "number": "1932216918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 SHERIDAN ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213514",
            "telephone_number": "954-963-3500",
            "fax_number": "954-964-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 SHERIDAN ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213514",
            "telephone_number": "954-963-3500",
            "fax_number": "954-964-2049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWARD INSTITUTE OF ORTHOPAEDIC SPECIALTIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2019-06-13",
        "status": "A",
        "authorized_official_last_name": "WORTH",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-962-3508",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.

Verify at the official NPI Registry.