Active NPI
James Broadbent, DO
- Adult Medicine Physician
- Las Vegas, NV
National Provider Identifier
1619544293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- DO3850
- Practice address
- 5380 S Rainbow Blvd Ste 236
Las Vegas, NV 89118-1879 - Phone
- (702) 778-2204
- NPI assigned
- Jun 10, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 20259 | ND | |
| Adult Medicine Physician | 207QA0505X | DO3850 | NV | Primary |
Addresses
Primary practice location
5380 S Rainbow Blvd Ste 236
Las Vegas, NV 89118-1879
Mailing address
5380 S Rainbow Blvd Ste 236
Las Vegas, NV 89118-1879
Phone (702) 778-2204
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- 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
- Family Practice
- Education
- Touro Un Col of Osteopathic Medicine, Henderson, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5380 S Rainbow Blvd
Suite 236
Las Vegas, NV 89118-1879
Phone (702) 778-2204
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20259 | ND | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parker Medical PLLC | Single Specialty | Current | Accepting new patients |
Locations
5380 S Rainbow Blvd
Ste 236
Las Vegas, NV 89118
Phone (702) 778-2204
Interoperability endpoints
- james.broadbent@42155926749188.direct.elationemr.com
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744761600000",
"number": "1619544293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5380 S RAINBOW BLVD STE 236",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891181879",
"telephone_number": "702-778-2204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5380 S RAINBOW BLVD STE 236",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891181879",
"telephone_number": "702-778-2204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROADBENT",
"first_name": "JAMES",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-10",
"last_updated": "2025-04-16",
"certification_date": "2025-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "ND",
"license": "20259",
"primary": false
},
{
"code": "207QA0505X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Adult Medicine",
"state": "NV",
"license": "DO3850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.