Michael Broadwell, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

44430 Issued in AL

Practice address

750 Morphy Ave
Fairhope, AL 36532-1812

Phone

(251) 435-7289

NPI assigned

Apr 17, 2015

Last updated

Jul 27, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AL

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

Internal Medicine

Education

Louisiana State University School of Medicine in Shreveport, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gulf Health Hospitals IncGroup PAC ID 3375448491, 20 clinicians

Imc-Hospitalists LLCGroup PAC ID 2264727155, 83 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Thomas Hospital Hospital, Fairhope, AL, CCN 010100
• USA Health University Hospital Hospital, Mobile, AL, CCN 010087
• Mobile Infirmary Medical Center Hospital, Mobile, AL, CCN 010113

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mbroadwell114860@directinfirmaryhealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gulf Health Hospitals, Inc.

  dba Thomas Hospital Internal Medicine Clinic

  • Internal Medicine Physician
  • Fairhope, AL
  • NPI 1194335877
  Medicare reassignment Care Compare group NPD
• Imc-Hospitalists LLC

  • Hospitalist Physician
  • Mobile, AL
  • NPI 1669824934
  Medicare reassignment Care Compare group NPD
• Gulf Health Hospitals, Inc.

  dba NBI Home Infusion Pharmacy

  • Home Infusion Therapy Pharmacy
  • Daphne, AL
  • NPI 1679347561
  NPD
• Gulf Health Hospitals, Inc

  dba Thomas Hospital

  • General Acute Care Hospital
  • Fairhope, AL
  • NPI 1447303227
  NPD (past)

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

• Gulf Health Hospitals, Inc

  dba Thomas Hospital

  • General Acute Care Hospital
  • Fairhope, AL
  • NPI 1447303227
  Care Compare affiliation
• Mobile Infirmary Association

  dba Mobile Infirmary Medical Center

  • General Acute Care Hospital
  • Mobile, AL
  • NPI 1558364802
  Care Compare affiliation
• University of South Alabama

  dba USA Health University Hospital

  • General Acute Care Hospital
  • Mobile, AL
  • NPI 1063468072
  Care Compare affiliation
• University of South Alabama

  dba USA Health Reference Lab Billing

  • General Acute Care Hospital
  • Mobile, AL
  • NPI 1972138022
  Care Compare affiliation

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

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1700273612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 SPRING HILL AVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366041402",
            "telephone_number": "251-435-7289",
            "fax_number": "318-212-6752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 MORPHY AVE",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365321812",
            "telephone_number": "251-435-7289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2551 Greenwood Rd Ste 410",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711033989",
            "country_code": "US",
            "telephone_number": "318-621-2929",
            "fax_number": "318-621-2930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2508 Bert Kouns Industrial Loop Ste 320",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711183167",
            "country_code": "US",
            "telephone_number": "318-212-5990",
            "fax_number": "318-212-5887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROADWELL",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-17",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "44430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2387944",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.mettles.com/",
            "affiliation": "N",
            "endpointDescription": "2.16.840.1.113883.3.6037.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "10320 Little Patuxent Pkwy Ste 233-02",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210443313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kathryn Denise Brannon, APRN
• Howard L Brazil, MD
• Jeanette W Breslin, M.D.
• Redonda Smith Britton
• Julie Kajor Broadwell, PA-C
• Tiffinie Brockner, PHARMD.
• Brandon Bromberg, LMT
• Brown and McCool Lasers, LLC (Brown and McCool Wellness Center)
• Lindsay Manning Brown, PA-C
• Mark C. Brown, P.A.

• Internal Medicine Physician in Fairhope, AL
• Providers in Fairhope, AL by specialty
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.