Individual provider Active NPI

Todd H Broad, MD

  • Anesthesiology Physician
  • Doylestown, PA
National Provider Identifier
1760427728
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD029685-E Issued in PA
Practice address
595 W State St
Doylestown, PA 18901-2554
Phone
(215) 345-2200
Fax
(215) 348-9501
NPI assigned
Jun 16, 2006
Last updated
Jan 7, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD029685-E PA Primary

Addresses

Primary practice location

595 W State St
Doylestown, PA 18901-2554

Mailing address

5039 Swamp Rd
Fountainville, PA 18923-9608
Phone (215) 348-1523

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090423000476 PA Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 6406750561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
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 LLCGroup PAC ID 4082920525, 78 clinicians

Practice addresses (Care Compare)

9500 Roosevelt Blvd
Philadelphia, PA 19115-3926
Phone (844) 448-5872

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD029685-EPAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ultracare Anesthesia Partners LLC Anesthesiology CurrentSince Dec 15, 2022 Accepting new patients
A & T Medical, P.C. PastSince Jul 2, 2007 Accepting new patients
Restoration and Wellness LLC PastSince Jan 17, 2021 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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

Verify at the official NPI Registry.