Active NPI
Christopher Broaddus, D.O.
- Internal Medicine Physician
- Danville, VA
National Provider Identifier
1457753758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0116027647
- Practice address
- 142 S Main St
Danville, VA 24541-2922 - Phone
- (434) 799-2055
- Fax
- (434) 799-2044
- NPI assigned
- Sep 18, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0116027647 | VA | Primary |
Addresses
Primary practice location
142 S Main St
Danville, VA 24541-2922
Mailing address
142 S Main St
Danville, VA 24541-2922
Phone (434) 799-2055
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of Fredericksburg, LLC | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Virginia LLC | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Virginia - Richmond, LLC | Internal Medicine | Current | Accepting new patients |
Locations
5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674
8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000
5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220
759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Fredericksburg, VA
- NPI 1447577572
-
- Internal Medicine Physician
- Richmond, VA
- NPI 1699311324
-
- Internal Medicine Physician
- Winchester, VA
- NPI 1770756991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410998400000",
"number": "1457753758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 S MAIN ST",
"city": "DANVILLE",
"state": "VA",
"postal_code": "245412922",
"telephone_number": "434-799-2055",
"fax_number": "434-799-2044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 S MAIN ST",
"city": "DANVILLE",
"state": "VA",
"postal_code": "245412922",
"telephone_number": "434-799-2055",
"fax_number": "434-799-2044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROADDUS",
"first_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-18",
"last_updated": "2014-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0116027647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.