Individual provider Active NPI

Nicholas Broadbent, D.O.

  • Vascular & Interventional Radiology Physician
  • Mason City, IA
National Provider Identifier
1356721872
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
05808 Issued in IA
Practice address
1416 6TH St SW
Mason City, IA 50401-4818
Phone
(641) 424-0102
NPI assigned
Jun 1, 2015
Last updated
May 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Vascular & Interventional Radiology Physician 2085R0204X 05808 IA Primary

Addresses

Primary practice location

1416 6TH St SW
Mason City, IA 50401-4818

Mailing address

530 NE Glen Oak Ave
Peoria, IL 61637-0001

Other practice location 1

1316 S Main St
Clarion, IA 50525-2019
Phone (844) 474-4321

Other practice location 2

840 W US Highway 18
Garner, IA 50438-1023
Phone (844) 474-4321

Other practice location 3

2700 1st Ave S Ste 100
Fort Dodge, IA 50501-4300
Phone (844) 474-4321

Other practice location 4

401 S 17th St
Clear Lake, IA 50428-2304
Phone (844) 474-4321

Other practice location 5

104 S Story St
Boone, IA 50036-4737
Phone (844) 474-4321

Other practice location 6

403 1st St SE
Belmond, IA 50421-1201
Phone (844) 474-4321

Other practice location 7

1924 Superior St
Webster City, IA 50595-3146
Phone (844) 474-4321

Other practice location 8

520 S Pierce Ave
Mason City, IA 50401-2749
Phone (641) 428-9200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mc.mmcmc.him@direct.2.mycarefile.org Direct MercyOne North Iowa

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210625002426 IA Practitioner - Diagnostic Radiology 8426363946 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiologists of North Iowa PCGroup PAC ID 4981592730, 13 clinicians

Practice addresses (Care Compare)

1416 6TH St SW
Mason City, IA 50401-4818
Phone (641) 424-0102

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.33 of 100Reported as group
Quality
94.65
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Specialty Hospital- Clarion CurrentSince Apr 1, 2025 Accepting new patients
Radiologists of North Iowa PC CurrentSince Aug 25, 2024 Accepting new patients
Iowa Specialty Hospital- Clarion Current Accepting new patients
Belmond Community Hospital CurrentSince Apr 1, 2025 Accepting new patients
Belmond Community Hospital Current Accepting new patients

Locations

403 1st St SE
Belmond, IA 50421
Phone (641) 444-3223

104 S Story St
Boone, IA 50036
Phone (515) 432-1642

1316 S Main St
Clarion, IA 50525
Phone (515) 532-2811

215 13th Ave SW
Clarion, IA 50525
Phone (515) 532-2836

401 S 17th St
Clear Lake, IA 50428
Phone (515) 832-1200

2700 1st Ave S
Ste 100
Fort Dodge, IA 50501
Phone (515) 955-6767

840 W US Highway 18
Garner, IA 50438
Phone (641) 925-1500

1000 4th St SW
Mason City, IA 50401
Phone (641) 424-6704

1416 6th St SW
Mason City, IA 50401
Phone (515) 424-4932

520 S Pierce Ave
Mason City, IA 50401
Phone (641) 422-6767

Organizations & group practices 6

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1356721872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 NE GLEN OAK AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616370001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 6TH ST SW",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504014818",
            "telephone_number": "641-424-0102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1316 S Main St",
            "address_purpose": "LOCATION",
            "city": "Clarion",
            "state": "IA",
            "postal_code": "505252019",
            "country_code": "US",
            "telephone_number": "844-474-4321",
            "fax_number": "515-532-3119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "840 W US Highway 18",
            "address_purpose": "LOCATION",
            "city": "Garner",
            "state": "IA",
            "postal_code": "504381023",
            "country_code": "US",
            "telephone_number": "844-474-4321",
            "fax_number": "641-925-1507",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2700 1st Ave S Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fort Dodge",
            "state": "IA",
            "postal_code": "505014300",
            "country_code": "US",
            "telephone_number": "844-474-4321",
            "fax_number": "515-576-8581",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 S 17th St",
            "address_purpose": "LOCATION",
            "city": "Clear Lake",
            "state": "IA",
            "postal_code": "504282304",
            "country_code": "US",
            "telephone_number": "844-474-4321",
            "fax_number": "515-832-1400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 S Story St",
            "address_purpose": "LOCATION",
            "city": "Boone",
            "state": "IA",
            "postal_code": "500364737",
            "country_code": "US",
            "telephone_number": "844-474-4321",
            "fax_number": "515-432-2895",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "403 1st St SE",
            "address_purpose": "LOCATION",
            "city": "Belmond",
            "state": "IA",
            "postal_code": "504211201",
            "country_code": "US",
            "telephone_number": "844-474-4321",
            "fax_number": "641-444-5554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1924 Superior St",
            "address_purpose": "LOCATION",
            "city": "Webster City",
            "state": "IA",
            "postal_code": "505953146",
            "country_code": "US",
            "telephone_number": "844-474-4321",
            "fax_number": "515-832-1114",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "520 S Pierce Ave",
            "address_purpose": "LOCATION",
            "city": "Mason City",
            "state": "IA",
            "postal_code": "504012749",
            "country_code": "US",
            "telephone_number": "641-428-9200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROADBENT",
        "first_name": "NICHOLAS",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-01",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IA",
            "license": "05808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mc.mmcmc.him@direct.2.mycarefile.org",
            "affiliation": "Y",
            "endpointDescription": "Direct Email Address",
            "affiliationName": "MercyOne North Iowa",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1000 4th St SW",
            "city": "Mason City",
            "state": "IA",
            "country_code": "US",
            "postal_code": "504012800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mason City, IA

Sources for this page

Verify at the official NPI Registry.