Alison G Broadbent, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0110001020 Issued in VA

Practice address

601 S Carlin Springs Rd
Arlington, VA 22204-1044

Phone

(703) 717-7000

NPI assigned

May 19, 2008

Last updated

May 17, 2010By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: alison.broadbent.1@26020.direct.athenahealth.com
• Direct secure messaging: alison.broadbent.1@27575.direct.athenahealth.com
• Direct secure messaging: alison.broadbent.1@8042.direct.athenahealth.com
• Direct secure messaging: alison.broadbent.2@25094.direct.athenahealth.com
• Direct secure messaging: alison.broadbent.2@25176.direct.athenahealth.com
• Direct secure messaging: alison.broadbent.4@23308.direct.athenahealth.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.

• Privia Medical Group, LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1013042480

  DC

  Medicare reassignment Care Compare group
• Springfield Family Medicine. LTD

  • Family Medicine Physician
  • Alexandria, VA
  • NPI 1417069808
  NPD (past)

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274054400000",
    "number": "1326205220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 N OAKLAND ST",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222033533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S CARLIN SPRINGS RD",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222041044",
            "telephone_number": "703-717-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROADBENT",
        "first_name": "ALISON",
        "middle_name": "G",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-19",
        "last_updated": "2010-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110001020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Dugan Brien, NP
• Tess E Briggs, P.A.
• Carol Paige Bringham, O.D.
• Ashley M Brinker, DNP, WHNP-BC
• Jessica T. Briscoe-Coleman, P.T.
• Amanda Broadhurst, OTR/L
• Ann K Brokaw, CRNP
• Amy Kristine Bronick, FNP
• Brooke's Home Healthcare Services LLC
• Alfred Bennette Brooks, M.D.

• Medical Physician Assistant in Arlington, VA
• Providers in Arlington, VA by specialty
• Medical Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2010; 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.