Organization Active NPI

Norman Broudy

Doing business as Norman Broudy and Associates

  • Psychiatry Physician
  • Wilmington, DE
National Provider Identifier
1457400657
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
NORMAN BROUDY
Doing business as
Norman Broudy and Associates
Practice address
825 N Washington St
Wilmington, DE 19801-1509
Phone
(302) 655-7110
Fax
(302) 655-6185
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Authorized official

Name
Norman Broudy, MDNPI 1346220928
Title
Lead Doctor
Phone
(302) 655-7110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 0000473 DE
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X B10000333 DE
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X B10000381 DE
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X B10000110 DE
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X B10000234 DE
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X LE0000140 DE
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X C10006767 DE
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X C10007596 DE
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X C10001649 DE
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X Q10000120 DE
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X Q10000260 DE
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X Q10000773 DE
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X Q10000129 DE
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X PC0000237 DE
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

825 N Washington St
Wilmington, DE 19801-1509

Mailing address

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

Other practice location 1

827 N Washington St
Wilmington, DE 19801-1509
Phone (026) 557-1103

Other identifiers 16

IdentifierTypeStateIssuer
PC0000237OtherDESTATE LICENSE NUMBER
0000473OtherDESTATE LICENSE NUMBER
B10000234OtherDESTATE LICENSE NUMBER
Q10000129OtherDESTATE LICENSE NUMBER
Q10000260OtherDESTATE LICENSE NUMBER
Q10000120OtherDESTATE LICENSE NUMBER
C10007596OtherDESTATE LICENSE NUMBER
PC0000003OtherDESTATE LICENSE NUMBER
B10000381OtherDESTATE LICENSE NUMBER
C10001649OtherDESTATE LICENSE NUMBER
LE0000140OtherDESTATE LICENSE NUMBER
B10000110OtherDESTATE LICENSE NUMBER
B10000333OtherDESTATE LICENSE NUMBER
C10006767OtherDESTATE LICENSE NUMBER
PC0000224OtherDESTATE LICENSE NUMBER
Q10000773OtherDESTATE LICENSE NUMBER

Other names 1

  • Norman Broudy and Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250620001648 DE Part B Supplier - Clinic/Group Practice 0941343438 Receives reassigned benefits from 12 practitioners
Practice locations: Wilmington, DE

National Provider Directory

National Provider Directory

Locations

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

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

Practitioners & affiliated clinicians

Practitioners 42

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 42

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740009600000",
    "number": "1457400657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 N WASHINGTON ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198011509",
            "telephone_number": "302-655-7110",
            "fax_number": "302-655-6185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 N WASHINGTON ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198011509",
            "telephone_number": "302-655-7110",
            "fax_number": "302-655-6185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "827 N Washington St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198011509",
            "country_code": "US",
            "telephone_number": "026-557-1103",
            "fax_number": "302-655-6185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORMAN BROUDY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A",
        "authorized_official_last_name": "BROUDY",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_title_or_position": "LEAD DOCTOR",
        "authorized_official_telephone_number": "302-655-7110",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "DE",
            "license": "0000473",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "DE",
            "license": "B10000333",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "DE",
            "license": "B10000381",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "DE",
            "license": "B10000110",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "DE",
            "license": "B10000234",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "DE",
            "license": "LE0000140",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "DE",
            "license": "C10006767",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "DE",
            "license": "C10007596",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "DE",
            "license": "C10001649",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "DE",
            "license": "Q10000120",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "DE",
            "license": "Q10000260",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "DE",
            "license": "Q10000773",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "DE",
            "license": "Q10000129",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "DE",
            "license": "PC0000237",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "PC0000237",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "0000473",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "B10000234",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "Q10000129",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "Q10000260",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "Q10000120",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "C10007596",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "PC0000003",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "B10000381",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "C10001649",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "LE0000140",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "B10000110",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "B10000333",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "C10006767",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "PC0000224",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "Q10000773",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Norman Broudy and Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.