Individual provider Active NPI

Lawrence David Broder, MD

  • Family Medicine Physician
  • Austin, TX
National Provider Identifier
1467468736
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L2154 Issued in TX
Practice address
1106 Clayton LN Ste 102W
Austin, TX 78723-2433
Phone
(512) 872-6868
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L2154 TX Primary

Addresses

Primary practice location

1106 Clayton LN Ste 102W
Austin, TX 78723-2433

Mailing address

1106 Clayton LN Ste 102W
Austin, TX 78723-2433
Phone (512) 872-6868

Other practice location 1

2701 S Highway 183 Ste B
Leander, TX 78641-2366
Phone (512) 872-6868

Other practice location 2

1500 W 38th St Ste 20
Austin, TX 78731-6317
Phone (512) 872-6868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20041023000113 TX Practitioner - Family Practice 4082675947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Medicine Center of Austin, P.a.Group PAC ID 3476786260, 2 clinicians

Practice addresses (Care Compare)

1106 Clayton LN
Suite 102W
Austin, TX 78723-2433
Phone (512) 872-6868

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L2154TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medicine Center of Austin, P.a. Family Medicine CurrentSince Nov 1, 2024 Accepting new patients
Round Rock Medical Aesthetics and Urgent Care PLLC Family Medicine Past Accepting new patients

Locations

1106 Clayton Ln
Ste 102W
Austin, TX 78723
Phone (512) 453-7356

4810B Spicewood Springs Rd
Austin, TX 78759
Phone (512) 346-5796

1500 W 38th St
Ste 20
Austin, TX 78731
Phone (512) 458-5323

2701 S Highway 183
Ste B
Leander, TX 78641
Phone (512) 259-5111

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FJEECD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1467468736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 CLAYTON LN STE 102W",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787232433",
            "telephone_number": "512-872-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 CLAYTON LN STE 102W",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787232433",
            "telephone_number": "512-872-6868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2701 S Highway 183 Ste B",
            "address_purpose": "LOCATION",
            "city": "Leander",
            "state": "TX",
            "postal_code": "786412366",
            "country_code": "US",
            "telephone_number": "512-872-6868",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 W 38th St Ste 20",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787316317",
            "country_code": "US",
            "telephone_number": "512-872-6868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRODER",
        "first_name": "LAWRENCE",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L2154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.