Individual provider Active NPI

Norman Broudy, MD

  • Psychiatry Physician
  • Wilmington, DE
National Provider Identifier
1346220928
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C10001649 Issued in DE
Practice address
501 W 14TH St
3Rd Floor
Wilmington, DE 19801-1013
Phone
(302) 428-2100
Fax
(302) 428-2121
NPI assigned
Jan 19, 2006
Last updated
Jun 19, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X C10001649 DE Primary

Addresses

Primary practice location

501 W 14TH St
3Rd Floor
Wilmington, DE 19801-1013

Mailing address

Box 30170
Wilmington, DE 19805
Phone (302) 623-7362

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090918000323 DE Practitioner - Psychiatry 8123186426 Reassigns benefits to 1 organization
Receives reassigned benefits from 13 practitioners
Practice locations: Newark, DE; Wilmington, DE
I20250625004367 DE Practitioner - Single Or Multispecialty Clinic Or Group Practice 8123186426 Practice locations: Wilmington, DE

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Pennsylvania State University College of Medicine, 1973
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Norman BroudyGroup PAC ID 0941343438, 11 clinicians

Practice addresses (Care Compare)

825 N Washington St
Wilmington, DE 19801-1509
Phone (302) 655-7110

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Barbara Belford, PHD, Inc CurrentSince May 24, 2020 Accepting new patients
Toledo ENT Inc Current Accepting new patients
Norman Broudy Psychiatry CurrentSince Apr 29, 2025 Accepting new patients
Christiana Care Health Services Inc Past Accepting new patients

Locations

314 E Main St
Ste 104
Newark, DE 19711
Phone (302) 738-9466

825 N Washington St
Wilmington, DE 19801
Phone (302) 655-7110

827 N Washington St
Wilmington, DE 19801
Phone (302) 655-7110

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213833600000",
    "number": "1346220928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 30170",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19805",
            "telephone_number": "302-623-7362",
            "fax_number": "302-623-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W 14TH ST",
            "address_2": "3RD FLOOR",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198011013",
            "telephone_number": "302-428-2100",
            "fax_number": "302-428-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUDY",
        "first_name": "NORMAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2008-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DE",
            "license": "C10001649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.