Mateusz Broszko, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

2021-00613 Issued in NC

Practice address

2577 W 5TH St
Greenville, NC 27834-7813

Phone

(252) 830-3426

NPI assigned

Jul 17, 2013

Last updated

Dec 30, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Psychiatry

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Group practices

Dream Provider Care ServicesGroup PAC ID 3971662636, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dreamprovidercareservicesinc.mateuszbroszko@158148.advancedmd-direct.com

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

• Dream Provider Care Services

  • Mental Health Counselor
  • Washington, NC
  • NPI 1912952672
  Medicare reassignment Care Compare group NPD
• Vidant Medical Group LLC

  • Multi-Specialty Clinic/Center
  • Greenville, NC
  • NPI 1477648731
  Medicare reassignment NPD
• Walter B Jones Center Woodside Treatment Center

  dba Walter B. Jones Woodside Treatment Center OTP

  • Community/Behavioral Health Agency
  • Greenville, NC
  • NPI 1245892470
  NPD
• Walter B Jones Center Woodside Treatment Center

  • Substance Abuse Rehabilitation Facility
  • Greenville, NC
  • NPI 1417496241
  NPD

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1063853182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2577 W 5TH ST",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347813",
            "telephone_number": "252-830-3426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2577 W 5TH ST",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347813",
            "telephone_number": "252-830-3426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Regency Pkwy",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275188549",
            "country_code": "US",
            "telephone_number": "252-320-9775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROSZKO",
        "first_name": "MATEUSZ",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-17",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101262089",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2021-00613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brookdale Senior Living Communities, Inc. (Sterling House of Greenville)
• Angela Brooks, PA-C
• Clyde L Brooks, M.D.
• Rebecca Brooks
• Kathryn K Brophy
• Samantha Karlene Brown Cunningham, PHD
• Amy Sue Brown Price
• Andrew Brown
• Ann-Marie Brown, MSN, CPNP, CCRN
• Ariel Brown

• Psychiatry Physician in Greenville, NC
• Providers in Greenville, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2022; 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.