Joseph Benjamin Broudy, M.D.

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

25MA09179300 Issued in NJ

Practice address

6439 Garners Ferry Rd
Columbia, SC 29209-1638

Phone

(809) 776-4000

NPI assigned

Mar 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Diagnostic Radiology

Education

University of Kentucky College of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Jersey Radiology Associates P aGroup PAC ID 9133115587, 202 clinicians

Lourdes Imaging Associates PAGroup PAC ID 2264480235, 15 clinicians

Radiology Associates of Burlington County P aGroup PAC ID 7012954381, 153 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Virtua Our Lady of Lourdes Hospital Hospital, Camden, NJ, CCN 310029
• Virtua Willingboro Hospital Hospital, Willingboro, NJ, CCN 310061
• West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022
• Virtua Mount Holly Hospital Hospital, Mount Holly, NJ, CCN 310057
• Cooper University Hospital Hospital, Camden, NJ, CCN 310014

Merit-based Incentive Payment System (MIPS)

Final score

92.6 of 100Reported as group

Quality

98.86

Improvement activities

40

Cost

77.42

Merit-based Incentive Payment System (MIPS)

Final score

98.76 of 100Reported as group

Quality

85

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

91.1 of 100Reported as group

Quality

89.53

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Lourdes Imaging Associates PA

  • Diagnostic Radiology Physician
  • Camden, NJ
  • NPI 1952330599
  Medicare reassignment Care Compare group NPD Authorized official
• Radiology Associates of Burlington County P a

  • Diagnostic Radiology Physician
  • Mount Holly, NJ
  • NPI 1255385183
  Medicare reassignment Care Compare group NPD
• South Jersey Radiology Associates P a

  • Diagnostic Radiology Physician
  • Voorhees, NJ
  • NPI 1477551653
  Medicare reassignment Care Compare group NPD
• Ami Atlanticare LLC

  • Radiology Clinic/Center
  • Hammonton, NJ
  • NPI 1275762023
  Medicare reassignment NPD
• Atlantic Medical Imaging

  • Specialist
  • Galloway, NJ
  • NPI 1396771556
  Medicare reassignment NPD
• University Radiology Group, LLC

  • Diagnostic Radiology Physician
  • East Brunswick, NJ
  • NPI 1154367803
  Medicare reassignment NPD
• Hillsborough Radiology Centers, LLC

  • Diagnostic Radiology Physician
  • Hillsborough, NJ
  • NPI 1912357674
  NPD
• SJV Management, LLC

  • Ambulatory Surgical Clinic/Center
  • Mount Laurel, NJ
  • NPI 1861913220
  NPD (past)

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

• The Cooper Health System

  • Land Ambulance
  • Camden, NJ
  • NPI 1174976724

  Hospital

  Care Compare affiliation
• The Cooper Health System

  • General Acute Care Hospital
  • Camden, NJ
  • NPI 1568442309
  Care Compare affiliation
• Virtua - Memorial Hospital Burlington County, Inc.

  • General Acute Care Hospital
  • Mount Holly, NJ
  • NPI 1134125016
  Care Compare affiliation
• Virtua - West Jersey Health System, Inc.

  • General Acute Care Hospital
  • Voorhees, NJ
  • NPI 1528064409
  Care Compare affiliation
• Virtua Our Lady of Lourdes Hospital Inc

  • General Acute Care Hospital
  • Camden, NJ
  • NPI 1235134024
  Care Compare affiliation
• Virtua Willingboro Hospital Inc

  • General Acute Care Hospital
  • Willingboro, NJ
  • NPI 1053316844
  Care Compare affiliation

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347667200000",
    "number": "1689706434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ATRIUM WAY",
            "address_2": "APT. 1305",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292236390",
            "telephone_number": "859-420-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6439 GARNERS FERRY RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292091638",
            "telephone_number": "809-776-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUDY",
        "first_name": "JOSEPH",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2012-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "57.012530",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MO",
            "license": "2011015956",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NJ",
            "license": "25MA09179300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Ann Broome, PHARMD
• Michael Gerard Brophy, DPT
• Rachel Brosz
• Brother2Brother
• Brothers Therapy Services, LLC
• Alexis Noelle Broussard, OD
• Elizabeth Ann Browell
• Rebecca Brower
• Brown & Associates Home Health Services, Inc.
• Valencia Janise Brown Richburg, RN BSN

• Vascular & Interventional Radiology Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Vascular & Interventional Radiology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2012; 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.

Verify at the official NPI Registry.