Autumn J Broady, M.D., M.P.H.

Primary specialty

Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X

License

1046715 Issued in CA

Practice address

5730 Telegraph Ave Ste 117
Oakland, CA 94609-1710

Phone

(415) 600-6400

Fax

(415) 369-1384

NPI assigned

Jun 29, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

Wayne State University School of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sutter Bay Medical Foundation

  • Multi-Specialty Clinic/Center
  • Palo Alto, CA
  • NPI 1013950807
  Medicare reassignment Care Compare group NPD
• Alameda Health System

  • Surgery Physician
  • Oakland, CA
  • NPI 1740332931
  Medicare reassignment NPD
• UCSF Health Medical Foundation

  • Multi-Specialty Clinic/Center
  • Oakland, CA
  • NPI 1922124866
  Medicare reassignment NPD
• Sutter Community Health

  • Clinic/Center
  • Oakland, CA
  • NPI 1811021405
  Medicare reassignment
• Alameda Health System

  • Federally Qualified Health Center (FQHC)
  • Newark, CA
  • NPI 1497956288
  NPD
• Alameda Health System

  • Federally Qualified Health Center (FQHC)
  • San Leandro, CA
  • NPI 1558749440
  NPD
• Sutter Bay Medical Foundation

  • Multi-Specialty Clinic/Center
  • Sacramento, CA
  • NPI 1003267196

  Obstetrics & Gynecology

  NPD
• Sutter Bay Medical Foundation

  • Clinical Medical Laboratory
  • Santa Clara, CA
  • NPI 1669287033
  NPD
• Alta Bates Summit Medical Center

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Oakland, CA
  • NPI 1043358542
  NPD (past)
• Eden Medical Center/San Leandro Hospital Campus

  • Rehabilitation Hospital Unit
  • San Leandro, CA
  • NPI 1679523633
  NPD (past)
• Sutter Bay Hospitals

  • General Acute Care Hospital
  • Burlingame, CA
  • NPI 1043670334
  NPD (past)
• Sutter Bay Hospitals

  • Rehabilitation Hospital Unit
  • Oakland, CA
  • NPI 1194171371
  NPD (past)

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1053549048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 DISTEL CIR",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221408",
            "telephone_number": "415-600-6400",
            "fax_number": "415-369-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5730 TELEGRAPH AVE STE 117",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946091710",
            "telephone_number": "415-600-6400",
            "fax_number": "415-369-1384"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1720 El Camino Real Ste 130",
            "address_purpose": "LOCATION",
            "city": "Burlingame",
            "state": "CA",
            "postal_code": "940103226",
            "country_code": "US",
            "telephone_number": "415-600-6388",
            "fax_number": "415-369-1384",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Van Ness Ave",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941096978",
            "country_code": "US",
            "telephone_number": "415-600-6400",
            "fax_number": "415-369-1384",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1580 Valencia St Ste 601",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941104422",
            "country_code": "US",
            "telephone_number": "415-600-6388",
            "fax_number": "415-369-1384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROADY",
        "first_name": "AUTUMN",
        "middle_name": "J",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-29",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "CA",
            "license": "1046715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "A142657",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ethan Taylor Broadhead, RN
• Broadstreet Counseling Services LLC
• Cassandra Broadway
• Marie Broadway
• Nataja Broadway
• Victor Albert Brochard, M.D.
• Cara Logan Brockbank, L.AC.
• Joanna Meyer Brockhouse, ASSOCIATE MFT
• James Brockopp
• Tawnya Brode, PSY.D.

• Maternal & Fetal Medicine Physician in Oakland, CA
• Providers in Oakland, CA by specialty
• Maternal & Fetal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.