Active NPI
Veronica Andrea Broadnax, M.D.
- Internal Medicine Physician
- Temple, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- P7745
- Practice address
- 2401 S 31St St
Temple, TX 76504 - Phone
- (254) 724-2111
- NPI assigned
- Jun 15, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | P7745 | TX | Primary |
| Internal Medicine Physician | 207R00000X | BP10034600 | TX |
Addresses
Primary practice location
2401 S 31St St
Temple, TX 76504
Mailing address
4815 State Highway 121
# 8
The Colony, TX 75056-2905
Phone (254) 724-2111
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Texas Medical Branch at Galveston, 2009
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
3800 N Tarrant Pkwy
Suite 210
Fort Worth, TX 76244-5416
Phone (682) 593-6660
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10034600 | TX | MD | Internal Medicine Physician |
| P7745 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Be Well Primary Care Medicine PLLC | Current | Accepting new patients | |
| Heal Well Wound Care LLC | Internal Medicine | Past | Accepting new patients |
Locations
721 Southeast Pkwy
Azle, TX 76020
Phone (817) 270-3627
3200 Colorado Blvd
Ste 202
Denton, TX 76210
Phone (940) 381-0055
3025 N Tarrant Pkwy
Ste 320
Fort Worth, TX 76177
Phone (682) 593-6660
3800 North Tarrant Pkwy
Ste 210
Fort Worth, TX 76244
Phone (214) 919-4635
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.
-
- Primary Care Clinic/Center
- Fort Worth, TX
- NPI 1447774344
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Medical City Denton
- General Acute Care Hospital
- Denton, TX
- NPI 1306897277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550793600000",
"number": "1568699718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4815 STATE HIGHWAY 121",
"address_2": "# 8",
"city": "THE COLONY",
"state": "TX",
"postal_code": "750562905",
"telephone_number": "254-724-2111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 S 31ST ST",
"city": "TEMPLE",
"state": "TX",
"postal_code": "76504",
"telephone_number": "254-724-2111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROADNAX",
"first_name": "VERONICA",
"middle_name": "ANDREA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-15",
"last_updated": "2019-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "P7745",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "BP10034600",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temple, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; 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.