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
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.

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 LLC 78 clinicians

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
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

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

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
01032170MedicaidPA

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

Verify at the official NPI Registry.