Individual provider Active NPI

Richard Smothers Broadhurst, MD, MPH

  • Occupational Medicine Physician
  • Asheville, NC
National Provider Identifier
1164567145
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
9801604 Issued in NC
Practice address
1200 Ridgefield Blvd
Suite 101
Asheville, NC 28806-2253
Phone
(828) 670-7474
Fax
(828) 670-7472
NPI assigned
Feb 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X 9801604 NC Primary

Addresses

Primary practice location

1200 Ridgefield Blvd
Suite 101
Asheville, NC 28806-2253

Mailing address

1200 Ridgefield Blvd
Suite 101
Asheville, NC 28806-2253
Phone (828) 670-7474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9801604NCMDOccupational Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164567145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 RIDGEFIELD BLVD",
            "address_2": "SUITE 101",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288062253",
            "telephone_number": "828-670-7474",
            "fax_number": "828-670-7472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 RIDGEFIELD BLVD",
            "address_2": "SUITE 101",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288062253",
            "telephone_number": "828-670-7474",
            "fax_number": "828-670-7472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROADHURST",
        "first_name": "RICHARD",
        "middle_name": "SMOTHERS",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "NC",
            "license": "9801604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.