Active NPI
Justin Broadhead, DO
- Diagnostic Radiology Physician
- Mobile, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 2178
- Practice address
- 2451 Fillingim St # 7TH
Mobile, AL 36617-2238 - Phone
- (251) 471-7207
- NPI assigned
- Mar 30, 2015
- Last updated
- Jul 28, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
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
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
- Mountain View Regional Medical Center
- Eastern New Mexico Medical Center
- Surgical Hospital at Southwoods
- Wayne Hospital
- St Clair Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.51 of 100
- Quality
- 53.79
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2178 | AL | MD | Chiropractor |
| 036179873 | IL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Alabama Health Services Foundation, PC. | Current | Accepting new patients | |
| Trumbull Radiologists Inc | Diagnostic Radiology | Current | Accepting new patients |
| Regional Imaging Associates | Diagnostic Radiology | Current | Accepting new patients |
| St Clair Professional Services Inc | Current | Accepting new patients | |
| Somc Medical Care Foundation, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| St Clair Professional Services Inc | Current | Accepting new patients | |
| Somc Medical Care Foundation, Inc. | Current | Accepting new patients | |
| Regional Imaging Enm LLC | Diagnostic Radiology | Current | Accepting new patients |
| Medical Foundation, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Regional Imaging, PC | Diagnostic Radiology | Current | Accepting new patients |
| Medical Foundation, Inc. | Current | 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.
-
dba St. Clair Medical Group Hospital Medicine
- Internal Medicine Physician
- Pittsburgh, PA
- NPI 1427270594
-
dba Gibson Area Hospital and Health Services
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1093768723
-
- Family Medicine Physician
- Portsmouth, OH
- NPI 1457467227
-
dba Ochsner Rush Medical Center Emergency Room Professional Services
- Emergency Medicine Physician
- Meridian, MS
- NPI 1700917994
-
dba Somc Radiology Associates
- Diagnostic Radiology Physician
- Portsmouth, OH
- NPI 1366686230
-
dba St. Clair Medical Group Radiology
- Radiology Clinic/Center
- Pittsburgh, PA
- NPI 1366332934
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mountainview Regional Medical Center
- General Acute Care Hospital
- Las Cruces, NM
- NPI 1205882503
-
dba Eastern New Mexico Medical Center
- General Acute Care Hospital
- Roswell, NM
- NPI 1447221742
-
dba St. Clair Hospital
- General Acute Care Hospital
- Pittsburgh, PA
- NPI 1073587119
-
dba The Surgical Hospital at Southwoods
- Special Hospital
- Youngstown, OH
- NPI 1740398890
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.