Michael Broder, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

A52301 Issued in CA

Practice address

280 S Beverly Dr
Suite 404
Beverly Hills, CA 90212-3907

Phone

(310) 858-9555

Fax

(310) 858-9552

NPI assigned

Aug 27, 2009

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

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251331200000",
    "number": "1356574115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 S BEVERLY DR",
            "address_2": "SUITE 404",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123907",
            "telephone_number": "310-858-9555",
            "fax_number": "310-858-9552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 S BEVERLY DR",
            "address_2": "SUITE 404",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123907",
            "telephone_number": "310-858-9555",
            "fax_number": "310-858-9552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODER",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-27",
        "last_updated": "2009-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A52301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Link, DMD, MSD, Professional Corporation
• Michael Lawrence Britton, LMFT
• Barry J Brock, M.D.
• Lawrence Arthur Brockman, D.M.D.
• Donna Rattner Broder, M.A.
• Rachel Brodsky, PA-C
• Jill Diane Broffman, M.D.
• Dafna Brook, PHD
• Danielle Fagan Brooks, MA, MFT
• H Leon Brooks, MD

• Obstetrics & Gynecology Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; 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.