Active NPI
Todd H Broad, MD
- Anesthesiology Physician
- Doylestown, PA
National Provider Identifier
1760427728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD029685-E
- Practice address
- 595 W State St
Doylestown, PA 18901-2554 - Phone
- (215) 345-2200
- Fax
- (215) 348-9501
- NPI assigned
- Jun 16, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Philadelphia, PA
- NPI 1407236110
Anesthesiology, PA
-
- Family Medicine Physician
- Doylestown, PA
- NPI 1407049885
-
- Adult Mental Health Clinic/Center
- Fort Washington, PA
- NPI 1770172033
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Jefferson Medical College of Thomas Jefferson University, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ultracare Anesthesia Partners LLC
Practice addresses (Care Compare)
9500 Roosevelt Blvd
Philadelphia, PA 19115-3926
Phone (844) 448-5872
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090423000476 | PA | Practitioner - Anesthesiology | 6406750561 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD029685-E | PA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ultracare Anesthesia Partners LLC | Anesthesiology | Current | Accepting new patients |
| A & T Medical, P.C. | Past | Accepting new patients | |
| Restoration and Wellness LLC | Past | Accepting new patients |
Locations
223 Summit Ave
Ft Washington, PA 19034
Phone (844) 448-5672
9500 Roosevelt Blvd
Philadelphia, PA 19115
Phone (215) 969-1048
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD029685-E | PA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
595 W State St
Doylestown, PA 18901-2554
Mailing address
5039 Swamp Rd
Fountainville, PA 18923-9608
Phone (215) 348-1523
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01032170 | Medicaid | PA |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 7, 2008.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199664000000",
"number": "1760427728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5039 SWAMP RD",
"city": "FOUNTAINVILLE",
"state": "PA",
"postal_code": "189239608",
"telephone_number": "215-348-1523",
"fax_number": "215-348-9501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "595 W STATE ST",
"city": "DOYLESTOWN",
"state": "PA",
"postal_code": "189012554",
"telephone_number": "215-345-2200",
"fax_number": "215-348-9501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROAD",
"first_name": "TODD",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2008-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PA",
"license": "MD029685-E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01032170",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Doylestown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.