Bonnie Gail Keshabon Broadus

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

775 W Broad St Ste 210
Columbus, OH 43222-1471

Phone

(614) 407-1771

Fax

(614) 334-5078

NPI assigned

Mar 3, 2025

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1245037787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4809 YOEST DR",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430819644",
            "telephone_number": "614-778-4769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 W BROAD ST STE 210",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221471",
            "telephone_number": "614-407-1771",
            "fax_number": "614-334-5078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROADUS",
        "first_name": "BONNIE",
        "middle_name": "GAIL KESHABON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julianne Broadbent
• Jazmin Broadnax
• Kimberly Ann Broadnax
• Tiffany Broadnax
• Amber D Broadus, CHW
• Kelon Broadus
• Broadview NH, LLC
• Courtney Broady, RD, LD
• Gina Marie Brobeck, LPCC-S
• Steven Brobst

• Case Manager/Care Coordinator in Columbus, OH
• Providers in Columbus, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.

Verify at the official NPI Registry.