Lee S Broadbent, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

731556181205 Issued in UT

Practice address

550 E 1400 N
Suite D
Logan, UT 84341

Phone

(435) 752-7122

Fax

(435) 755-9579

NPI assigned

Jul 12, 2006

Last updated

Feb 20, 2008By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Lee S. Broadbent, M.D. Apc

  • Surgery Physician
  • Logan, UT
  • NPI 1427227768
  NPD (past) Authorized official
• Cache Valley Specialty Hospital

  • General Acute Care Hospital
  • North Logan, UT
  • NPI 1669446563
  NPD (past)
• Cache Valley Surgical Consultants, PC

  • Surgery Physician
  • North Logan, UT
  • NPI 1982875878
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203465600000",
    "number": "1265467567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 E 1400 N",
            "address_2": "SUITE D",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "84341",
            "telephone_number": "435-752-7122",
            "fax_number": "435-755-9579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 E 1400 N",
            "address_2": "SUITE D",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "84341",
            "telephone_number": "435-752-7122",
            "fax_number": "435-755-9579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROADBENT",
        "first_name": "LEE",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2008-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "UT",
            "license": "731556181205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Bresley, ATC, LAT
• Megan E Bressel, PT
• Bridge Utah Medical Group
• Kelsey Nicole Brimhall
• Katerina Briscoe
• Michael L Broadbent, D.O.
• Ashley Carolina Brog, LCSW
• Christopher Brower
• Kendall Gilbert Brown, FNP-BC
• Nicole Brown, LCSW

• Surgery Physician in Logan, UT
• Providers in Logan, UT by specialty
• Surgery Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; 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.