Individual provider Active NPI

Veronica Andrea Broadnax, M.D.

  • Internal Medicine Physician
  • Temple, TX
National Provider Identifier
1568699718
Registry record updated Feb 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P7745 Issued in TX
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

Updated by the provider on Feb 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131021001153 TX Practitioner - Internal Medicine 7113152562 Reassigns benefits to 1 organization

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
Be Well Primary Care Medicine PLLCGroup PAC ID 7517225675, 8 clinicians

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

LicenseStateTypeSpecialty
BP10034600TXMDInternal Medicine Physician
P7745TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Be Well Primary Care Medicine PLLC CurrentSince Sep 25, 2023 Accepting new patients
Heal Well Wound Care LLC Internal Medicine PastSince Jul 28, 2024 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.