Mark Aaron Broadbent, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD60837429 Issued in WA

Practice address

2502 S Union Ave
Tacoma, WA 98405-1328

Phone

(253) 841-4653

Fax

(253) 446-3973

NPI assigned

Jun 22, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Diagnostic Radiology

Education

Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Radiology Associates LLCGroup PAC ID 8628041464, 83 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christus St Frances Cabrini Hospital Hospital, Alexandria, LA, CCN 190019
• Christus Shreveport-Bossier Health System Hospital, Shreveport, LA, CCN 190041
• Christus Ochsner St Patrick Hospital Hospital, Lake Charles, LA, CCN 190027
• Christus Central Louisiana Surgical Hospital Hospital, Alexandria, LA, CCN 190298
• Beauregard Memorial Hospital Hospital, Deridder, LA, CCN 190050

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Radiology Associates LLC

  • Diagnostic Radiology Physician
  • Baton Rouge, LA
  • NPI 1659347771

  WA

  Medicare reassignment Care Compare group NPD
• Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance

  • Radiology Clinic/Center
  • Tacoma, WA
  • NPI 1083802946
  Medicare reassignment NPD
• Union Avenue Open MRI LLC

  • Radiology Clinic/Center
  • Tacoma, WA
  • NPI 1568531242
  Medicare reassignment NPD
• Tra-Minw P S

  • Radiology Clinic/Center
  • Tacoma, WA
  • NPI 1396814166
  Medicare reassignment
• Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance

  • Radiology Clinic/Center
  • Puyallup, WA
  • NPI 1336419514
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Central Louisiana Surgical Hospital LLC

  • General Acute Care Hospital
  • Alexandria, LA
  • NPI 1164750840
  Care Compare affiliation
• Christus Health Central Louisiana

  • Student Health Clinic/Center
  • Pollock, LA
  • NPI 1013037431

  Hospital

  Care Compare affiliation
• Christus Health Central Louisiana

  • Student Health Clinic/Center
  • Pineville, LA
  • NPI 1023139458

  Hospital

  Care Compare affiliation
• Christus Health Central Louisiana

  • Student Health Clinic/Center
  • Pineville, LA
  • NPI 1093836421

  Hospital

  Care Compare affiliation
• Christus Health Central Louisiana

  • Student Health Clinic/Center
  • Provencal, LA
  • NPI 1164687307

  Hospital

  Care Compare affiliation
• Christus Health Central Louisiana

  • Student Health Clinic/Center
  • Mansura, LA
  • NPI 1225157050

  Hospital

  Care Compare affiliation
• Christus Health Central Louisiana

  • Student Health Clinic/Center
  • Deville, LA
  • NPI 1285755611

  Hospital

  Care Compare affiliation
• Christus Health Central Louisiana

  • Student Health Clinic/Center
  • Natchitoches, LA
  • NPI 1356462782

  Hospital

  Care Compare affiliation
• Christus Health Central Louisiana

  • Student Health Clinic/Center
  • Glenmora, LA
  • NPI 1376664706

  Hospital

  Care Compare affiliation
• Christus Health Central Louisiana

  • Student Health Clinic/Center
  • Jena, LA
  • NPI 1467573899

  Hospital

  Care Compare affiliation
• Christus Health Central Louisiana

  • Student Health Clinic/Center
  • Jena, LA
  • NPI 1558482984

  Hospital

  Care Compare affiliation
• Christus Health Central Louisiana

  • Student Health Clinic/Center
  • Marthaville, LA
  • NPI 1609031962

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1841553088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 FAWCETT AVE STE 100",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984021900",
            "telephone_number": "253-761-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 S UNION AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051328",
            "telephone_number": "253-841-4653",
            "fax_number": "253-446-3973"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1304 Fawcett Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "98402",
            "country_code": "US",
            "telephone_number": "253-761-4200",
            "fax_number": "253-761-4201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "222 15th Ave SE",
            "address_purpose": "LOCATION",
            "city": "Puyallup",
            "state": "WA",
            "postal_code": "983723754",
            "country_code": "US",
            "telephone_number": "253-841-4353",
            "fax_number": "253-583-8630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROADBENT",
        "first_name": "MARK",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-22",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "MD188795",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "OR",
            "license": "MD188795",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD60837429",
            "primary": true
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "WA",
            "license": "MD60837429",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2017008637",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LNI-DINW",
            "identifier": "0389199",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500744919",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LNI-TRA KING COUNTY",
            "identifier": "0389197",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LNI-UAOM",
            "identifier": "0389198",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LNI-TRA REST OF WA",
            "identifier": "0389196",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2097736",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicolas Todd Bristow, RN
• Stephen Bristow
• Clarence Paul Britt Jr., MA
• Erica Christine Britt, CRNA
• Bridgette Brittain
• Mary Broadbent, RN
• Savannah Martha Broadlick, DO
• Danielle Broberg, OTR/L
• Teshama Nichole Brock, R.N.
• Diana Brockett

• Diagnostic Radiology Physician in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Diagnostic Radiology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.

Verify at the official NPI Registry.