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Broward Neurosurgeons LLC

Neurological Surgery in Plantation, FL. Organization (NPI-2).

NPI number1366499618
StatusActive
Last updated in NPPESOct 17, 2017

Details

NPI
1366499618
Entity type
Organization (NPI-2)
Legal business name
Broward Neurosurgeons LLC
Organization subpart
Yes
Enumeration date
May 30, 2006
Last updated
Oct 17, 2017

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207T00000X Neurological Surgery––Yes

Practice location

8251 W Broward Blvd
Suite 300
Plantation, FL 33324-2703

Phone 954-475-9244 · Fax 954-475-0848

Mailing address

8251 W Broward Blvd
Suite 300
Plantation, FL 33324-2703

Phone 954-475-9244 · Fax 954-475-0848

Authorized official

William Tedrick Johnson
Vice President
6153723375

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Neurological Surgery Physician providers in Plantation, FL

All 7 Neurological Surgery Physician providers in Plantation · All 4,967 providers in Plantation

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