Organization Active NPI

TLC Perinatal Richard Broth MD PC

  • Maternal & Fetal Medicine Physician
  • Hagerstown, MD
National Provider Identifier
1023822301
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
Legal business name
TLC PERINATAL RICHARD BROTH MD PC
Practice address
1165 Imperial Dr Ste 202
Hagerstown, MD 21740-6583
Phone
(301) 684-0004
NPI assigned
Feb 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Authorized official

Name
Richard E Broth
Title
Physician/Owner
Phone
(301) 684-0004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VM0101X Primary

Addresses

Primary practice location

1165 Imperial Dr Ste 202
Hagerstown, MD 21740-6583

Mailing address

10801 Lockwood Dr Ste 300
Silver Spring, MD 20901-1562
Phone (301) 684-0004

National Provider Directory

National Provider Directory
Tax ID family
TLC Perinatal Richard Broth MD PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1738713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1023822301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10801 LOCKWOOD DR STE 300",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209011562",
            "telephone_number": "301-684-0004",
            "fax_number": "301-593-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 IMPERIAL DR STE 202",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406583",
            "telephone_number": "301-684-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC PERINATAL RICHARD BROTH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "BROTH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "301-684-0004"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.