Sherri D. Broadbent, DO
Individual provider Active NPI Family Medicine Physician · Winterset, IA
NPI 1487766903 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1487766903
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 03096 (IA)
- Practice address
- 300 W Hutchings St
Winterset, IA 50273-2104 - Phone
- (515) 462-2950
- Fax
- (515) 462-4371
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100610000959 | IA | Practitioner - Family Practice | 5991835373 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03096 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Knoxville Community Hospital Inc | Family Medicine | Current |
Accepting new patients |
| Knoxville Community Hospital Inc | Current |
Accepting new patients | |
| Davis County Hospital | Current |
Accepting new patients | |
| Davis County Hospital | Current |
Accepting new patients | |
| Madison County Memorial Hospital | Current | Accepting new patients |
Locations
509 N Madison St
Bloomfield, IA 52537
Phone (641) 664-2145
1002 S Lincoln St
Knoxville, IA 50138
Phone (641) 842-1464
300 W Hutchings St
Winterset, IA 50273
Phone (515) 223-4368
300 W Hutchings St
#100
Winterset, IA 50273
Phone (515) 462-2373
Interoperability endpoints
- sbroadbent869392@direct.unitypoint.org
- sbroadbent@yourcarecommunity.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 03096 | IA | Yes |
Addresses
Primary practice location
300 W Hutchings St
Winterset, IA 50273-2104
Mailing address
300 W Hutchings St
Winterset, IA 50273-2104
Phone (515) 462-2950
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 49733 | Other | IA | BCBS |
| 6138339 | Medicaid | IA |
Other providers in Winterset, IA
- Mary Berry
- Christopher W Blanchard
- Clarice E. Blanchard
- Blue Care Opco Winterset - East, LLC
- Blue Care Opco Winterset - West, LLC
- Nathaniel Brundidge
- Brandon Tyler Carlucci
- Laresa Jean Carney
- Damien Chance
- Kassidy Kae Chen
All providers in Winterset, IA · Family Medicine Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.