NPIMap

Individual provider Active NPI

Ronda Lynn Broady, D.O.

  • Family Medicine Physician
  • West Chester, PA
National Provider Identifier
1558381012
Registry record updated Aug 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS011005L Issued in PA
Practice address
1055 Andrew Dr
West Chester, PA 19380-3446
Phone
(610) 431-0865
NPI assigned
Jul 20, 2006
Last updated
Aug 19, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 102202230 VA
Family Medicine Physician 207Q00000X C20006590 DE
Family Medicine Physician 207Q00000X OS011005L PA Primary

Addresses

Primary practice location

1055 Andrew Dr
West Chester, PA 19380-3446

Mailing address

1055 Andrew Dr
West Chester, PA 19380-3446
Phone (610) 431-0865

Other identifiers 1

IdentifierTypeStateIssuer
1558381012MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120821000173 DE Practitioner - Osteopathic Manipulative MedicinePractitioner - Family Practice 0345303020 Reassigns benefits to 1 organization
I20151021002168 PA Practitioner - Family Practice 0345303020

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
Philadelphia College of Osteopathic Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Zarek Donohue LLCGroup PAC ID 5597807008, 22 clinicians

Practice addresses (Care Compare)

3411 Silverside Rd
Suite 100
Wilmington, DE 19810-4811
Phone (302) 543-5454

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C20006590DEMDFamily Medicine Physician
OS011005LPAMDFamily Medicine Physician
102202230VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Zarek Donohue LLC CurrentSince Jul 11, 2022 Accepting new patients
Teladoc Health Medical Group, P.a. Family Medicine Current Accepting new patients
Zarek Donohue LLC CurrentSince Jul 11, 2022 Accepting new patients
Diamond Nutrition Counseling, Inc Past Accepting new patients

Locations

3411 Silverside Rd
Ste 100
Wilmington, DE 19810
Phone (302) 543-5454

3521 Silverside Rd
Ste 2J
Wilmington, DE 19810
Phone (302) 543-5454

Interoperability endpoints

  • Direct secure messaging: ronda.broady@107234456698884.direct.elationemr.com
  • Direct secure messaging: rondabroady@tdh.allscriptsdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439942400000",
    "number": "1558381012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 ANDREW DR",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193803446",
            "telephone_number": "610-431-0865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 ANDREW DR",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193803446",
            "telephone_number": "610-431-0865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROADY",
        "first_name": "RONDA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2015-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "102202230",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C20006590",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS011005L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558381012",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

Verify at the official NPI Registry.