Individual provider Active NPI

Justin Broadhead, DO

  • Diagnostic Radiology Physician
  • Mobile, AL
National Provider Identifier
1730574500
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2178 Issued in AL
Practice address
2451 Fillingim St # 7TH
Mobile, AL 36617-2238
Phone
(251) 471-7207
NPI assigned
Mar 30, 2015
Last updated
Jul 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MS
Diagnostic Radiology Physician 2085R0202X 2178 AL Primary
Diagnostic Radiology Physician 2085R0202X 036179873 IL

Addresses

Primary practice location

2451 Fillingim St # 7TH
Mobile, AL 36617-2238

Mailing address

429 Pinehurst Dr
Meridian, MS 39305-9188
Phone (601) 227-8105

Other practice location 1

1120 N Melvin St
Gibson City, IL 60936-1477
Phone (217) 784-4251

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, MS, OH, PA, IL5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20200428002114 AL Practitioner - Diagnostic Radiology 3577993815 Reassigns benefits to 5 organizations
I20200909003092 MS Practitioner - Diagnostic Radiology 3577993815 Reassigns benefits to 1 organization
I20250501002656 OH Practitioner - Diagnostic Radiology 3577993815 Reassigns benefits to 1 organization
I20251103003509 PA Practitioner - Diagnostic Radiology 3577993815 Reassigns benefits to 2 organizations
I20260602001538 IL Practitioner - Diagnostic Radiology 3577993815 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
William Carey University College of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trumbull Radiologists IncGroup PAC ID 1951393057, 21 clinicians
Regional Imaging Enm LLCGroup PAC ID 2264847128, 19 clinicians
Regional Imaging AssociatesGroup PAC ID 7113372236, 22 clinicians
Regional Imaging PCGroup PAC ID 7315349966, 19 clinicians

Practice addresses (Care Compare)

1000 Bower Hill Rd
Pittsburgh, PA 15243-1873
Phone (412) 942-2582

1120 N Melvin St
Gibson City, IL 60936-1477
Phone (217) 784-4251

267 Lakewood LN
Parrish, AL 35580-0099
Phone (724) 257-1493

740 E State St
Sharon, PA 16146-3328
Phone (614) 570-9233

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.51 of 100Reported as group
Quality
53.79
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2178ALMDChiropractor
036179873ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. CurrentSince Apr 1, 2020 Accepting new patients
Trumbull Radiologists Inc Diagnostic Radiology CurrentSince Aug 31, 2024 Accepting new patients
Regional Imaging Associates Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
St Clair Professional Services Inc CurrentSince Sep 1, 2025 Accepting new patients
Somc Medical Care Foundation, Inc. Diagnostic Radiology CurrentSince Apr 28, 2025 Accepting new patients
St Clair Professional Services Inc CurrentSince Sep 1, 2025 Accepting new patients
Somc Medical Care Foundation, Inc. Current Accepting new patients
Regional Imaging Enm LLC Diagnostic Radiology CurrentSince Aug 6, 2024 Accepting new patients
Medical Foundation, Inc. Diagnostic Radiology CurrentSince Aug 1, 2020 Accepting new patients
Regional Imaging, PC Diagnostic Radiology CurrentSince Aug 5, 2024 Accepting new patients
Medical Foundation, Inc. CurrentSince Aug 1, 2020 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

619 19th St S
Birmingham, AL 35249

6412 Laurel Ave
Mountain Mesa, CA 93240
Phone (760) 379-2681

2401 16th St
Meridian, MS 39301
Phone (601) 482-4181

4311 E Lohman Ave
Las Cruces, NM 88011
Phone (505) 556-6800

405 W Country Club Rd
Roswell, NM 88201
Phone (505) 622-8170

9360 River Rd
Marcy, NY 13403

810 S Main St
Akron, OH 44311
Phone (330) 480-2502

4881 State Route 125
Georgetown, OH 45121
Phone (937) 378-2526

835 Sweitzer St
Greenville, OH 45331
Phone (937) 548-1141

217 Hughes Blvd
Mount Orab, OH 45154
Phone (937) 346-8826

1735 27th St
Ste B06
Portsmouth, OH 45662
Phone (740) 356-7942

1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000

230 Medical Center Dr
Seaman, OH 45679
Phone (937) 386-3400

1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600

740 E State St
Sharon, PA 16146
Phone (724) 983-1980

Organizations & group practices 12

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.

Hospital & facility affiliations 5

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": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1730574500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 PINEHURST DR",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393059188",
            "telephone_number": "601-227-8105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 FILLINGIM ST # 7TH",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366172238",
            "telephone_number": "251-471-7207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 N Melvin St",
            "address_purpose": "LOCATION",
            "city": "Gibson City",
            "state": "IL",
            "postal_code": "609361477",
            "country_code": "US",
            "telephone_number": "217-784-4251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROADHEAD",
        "first_name": "JUSTIN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-30",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MS",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "2178",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036179873",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.