Organization Active NPI

Broward Osteopathic Group, LLC

  • Orthopaedic Surgery Physician
  • Davie, FL
National Provider Identifier
1972748333
Registry record updated Dec 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
BROWARD OSTEOPATHIC GROUP, LLC
Practice address
7750 Nova Dr
Davie, FL 33324-5801
Phone
(954) 752-2715
NPI assigned
Dec 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2008

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

Authorized official

Name
Dr. Michael Flicker, M.D.
Title
MGR
Phone
(954) 752-2715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

7750 Nova Dr
Davie, FL 33324-5801

Mailing address

7750 Nova Dr
Davie, FL 33324-5801
Phone (954) 752-2715

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229040000000",
    "number": "1972748333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7750 NOVA DR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333245801",
            "telephone_number": "954-752-2715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7750 NOVA DR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333245801",
            "telephone_number": "954-752-2715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWARD OSTEOPATHIC GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-12",
        "last_updated": "2008-12-12",
        "status": "A",
        "authorized_official_last_name": "FLICKER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "954-752-2715",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.