Individual provider Active NPI

James Broadbent, DO

  • Adult Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1619544293
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
DO3850 Issued in NV
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

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 20259 ND
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250520000307 NV Practitioner - Family Practice 5193246999 Reassigns benefits to 1 organization

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
Parker Medical PLLCGroup PAC ID 4789958802, 3 clinicians

Practice addresses (Care Compare)

5380 S Rainbow Blvd
Suite 236
Las Vegas, NV 89118-1879
Phone (702) 778-2204

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20259NDMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Parker Medical PLLC Single Specialty CurrentSince Apr 9, 2025 Accepting new patients

Locations

5380 S Rainbow Blvd
Ste 236
Las Vegas, NV 89118
Phone (702) 778-2204

Interoperability endpoints

  • Direct secure messaging: 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

Verify at the official NPI Registry.