Active NPI
TLC Perinatal Richard Broth MD PC
- Maternal & Fetal Medicine Physician
- Hagerstown, MD
National Provider Identifier
1023822301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 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 PC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Maternal & Fetal Medicine Physician
- Germantown, MD
- NPI 1245044510
-
- Maternal & Fetal Medicine Physician
- Silver Spring, MD
- NPI 1992007827
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.