William Aaron Broyles, D.P.M.
Individual provider Active NPI Foot & Ankle Surgery Podiatrist · Mars Hill, NC
NPI 1801839964 · NPPES record last updated Jul 9, 2012
Key facts
- NPI
- 1801839964
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- 580 (NC)
- Practice address
- 105 Chestnut St
Mars Hill, NC 28754-9602 - Phone
- (828) 680-1161
- Fax
- (828) 680-1191
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- Temple University School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Alta Ridge Foot Specialists, PLLC
Practice addresses (Care Compare)
105 Chestnut St
Mars Hill, NC 28754-9602
Phone (828) 680-1161
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 99 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 130 |
| Removal or shaving of skin growth | 66 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120913000534 | NC | Practitioner - Podiatry | 5597734780 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25 MD00278700 | NJ | MD | Foot & Ankle Surgery Podiatrist |
| SC 004687L | PA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alta Ridge Foot Specialists PLLC | Foot & Ankle Surgery | Current |
Accepting new patients |
| Alta Ridge Foot Specialists, PLLC | Foot & Ankle Surgery | Current |
Accepting new patients |
| Alta Ridge Foot Specialists, PLLC | Past | Accepting new patients |
Locations
2211 Highway 105
Boone, NC 28607
Phone (828) 262-1808
105 Chestnut St
Mars Hill, NC 28754
Phone (828) 483-4438
125 Hospital Dr
Spruce Pine, NC 28777
Phone (828) 765-4201
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | SC 004687L | PA | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 25 MD00278700 | NJ | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 580 | NC | Yes |
Addresses
Primary practice location
105 Chestnut St
Mars Hill, NC 28754-9602
Mailing address
105 Chestnut St
Mars Hill, NC 28754-9602
Phone (828) 680-1161
Other providers in Mars Hill, NC
- Bluewest Opportunities, Inc.
- Jeremy D Bramlett
- Meredith Broadway
- Jeff R Brooks
- Brookwood-Madison County Convalescent Center LLP
- Stephen Canner
- Ashley Nicole Carr
- Matthew Caudle
- Collaborative Health Partnership
- Jim Darress
All providers in Mars Hill, NC · Foot & Ankle Surgery Podiatrist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.