Individual provider Active NPI

Danielle Dawn Broshears, MD

  • Pediatrics Physician
  • Whiteland, IN
National Provider Identifier
1861665531
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
01068346A Issued in IN
Practice address
8 N US 31 Ste B
Whiteland, IN 46184
Phone
(317) 668-1750
Fax
(317) 535-0952
NPI assigned
Apr 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 01068346A IN Primary

Addresses

Primary practice location

8 N US 31 Ste B
Whiteland, IN 46184

Mailing address

8 N US 31 Ste B
Whiteland, IN 46184-1546
Phone (317) 668-1750

Other practice location 1

55 N Milford Dr
Franklin, IN 46131-7308
Phone (317) 739-4848

Other practice location 2

55 N Milford Dr
Franklin, IN 46131-7308
Phone (317) 739-4848

Other identifiers 1

IdentifierTypeStateIssuer
200985640MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Windrose Health Network Inc Past Accepting new patients
Major Hospital Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1861665531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 N US 31 STE B",
            "city": "WHITELAND",
            "state": "IN",
            "postal_code": "461841546",
            "telephone_number": "317-668-1750",
            "fax_number": "317-535-0952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 N US 31 STE B",
            "city": "WHITELAND",
            "state": "IN",
            "postal_code": "46184",
            "telephone_number": "317-668-1750",
            "fax_number": "317-535-0952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 N Milford Dr",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "IN",
            "postal_code": "461317308",
            "country_code": "US",
            "telephone_number": "317-739-4848",
            "fax_number": "317-346-4062",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 N Milford Dr",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "IN",
            "postal_code": "461317308",
            "country_code": "US",
            "telephone_number": "317-739-4848",
            "fax_number": "317-346-4062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROSHEARS",
        "first_name": "DANIELLE",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-02",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01068346A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200985640",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whiteland, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.