Broadway Orthopedics LTD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

BROADWAY ORTHOPEDICS LTD

Practice address

1111 Superior St
Suite 305
Melrose Park, IL 60160-4138

Phone

(708) 344-0870

Fax

(708) 343-4490

NPI assigned

Mar 27, 2008

Last updated

May 1, 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

Dr. Alfred A Akkeron, MD

Title

President

Phone

(708) 344-0870

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1952573149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111SUPERIOR STREET",
            "address_2": "SUITE 305",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601604158",
            "telephone_number": "708-344-0870",
            "fax_number": "708-343-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 SUPERIOR ST",
            "address_2": "SUITE 305",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601604138",
            "telephone_number": "708-344-0870",
            "fax_number": "708-343-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY ORTHOPEDICS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "AKKERON",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-344-0870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER  NPI",
            "identifier": "1306880919",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036042498",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "21604940",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Borys Sumyk, M.D., S.C.
• Dimitra Maria Bouzanis, BA
• Stephanie Brackett, PHYSICAL THERAPIST
• Case Edward Brewer, CRNA
• Broadway Medical Center
• Aliya K Brooks, BA
• Loren Brooks
• Heidi L. Brown, M.D.
• Leah R Brown, PTA
• Luan Jean Brown, MS

• Orthopaedic Surgery Physician in Melrose Park, IL
• Providers in Melrose Park, IL by specialty
• Orthopaedic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.