Suzette Broshears, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

01049478 Issued in IN

Practice address

316 Chandler Ave
Evansville, IN 47713-1147

Phone

(812) 436-4501

Fax

(812) 436-4510

NPI assigned

Nov 9, 2007

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 4

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sbroshears32362@direct.deaconess.com

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.

• Echo Community Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Evansville, IN
  • NPI 1912906850
  Medicare reassignment NPD
• Echo Community Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Evansville, IN
  • NPI 1063805216
  NPD
• Echo Community Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Evansville, IN
  • NPI 1467483255
  NPD

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471564800000",
    "number": "1205016995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 MULBERRY ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477131252",
            "telephone_number": "812-421-7489",
            "fax_number": "812-436-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 CHANDLER AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477131147",
            "telephone_number": "812-436-4501",
            "fax_number": "812-436-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROSHEARS",
        "first_name": "SUZETTE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-09",
        "last_updated": "2016-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01049478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "M400052567",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000785906",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200200690",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GRP",
            "identifier": "200079040D",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David M Brooks, CRNA
• Hannah Elizabeth Brooks, DPT
• Matthew Brooks
• Ashawnta Marie Broshears, RECOVERY SPECIALIST
• Philip G Broshears, M.D.
• Aaron Brosmer, LCSW
• Francesca D Brougham, LCSW
• David E Brougher, M.D.
• Joshua Robert Brougher, M.D.
• Sarah Browers, LSW

• Pediatrics Physician in Evansville, IN
• Providers in Evansville, IN by specialty
• Pediatrics Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.