Matthew Coury Broberg, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2015032220 Issued in MO

Practice address

13803 W 82ND Ter
Lenexa, KS 66215-4168

Phone

(785) 320-0998

NPI assigned

Jul 28, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, KS2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Optometry

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bridge Hill Eye LLCGroup PAC ID 6204194772, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bridge Hill Eye, LLC

  • Optometrist
  • Lenexa, KS
  • NPI 1124546882

  KS, MO, Optometrist

  Medicare reassignment Care Compare group NPD Authorized official
• Promohispano 2 Inc

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1356621957

  MO

  Medicare reassignment NPD
• 20-20 Inc

  • Eyewear Supplier
  • Independence, MO
  • NPI 1811277437

  MO

  Medicare reassignment

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1497130702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13803 W 82ND TER",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662154168",
            "telephone_number": "785-320-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13803 W 82ND TER",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662154168",
            "telephone_number": "785-320-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROBERG",
        "first_name": "MATTHEW",
        "middle_name": "COURY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-28",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2015032220",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "0003144",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridge Hill Eye, LLC
• Caitlin Brigham, PHARMD
• Craig William Briscoe, PTA
• Brooke Michelle Brite, TLMFT
• Dara Britton
• Muriel Brock, PT
• Annalissa Brodersen, LMSW
• Tiffany C Broeckelman, MSPT, CERT MDT
• Brianna Brooks-McMullin
• Ariana Brooks

• All providers in Lenexa, KS
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.