Jeffrey N Broder MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

15157 Issued in SC

Legal business name

JEFFREY N BRODER MD

Doing business as

North Augusta Urgent Care Family & Occupational Medicine Center

Practice address

1201 West Ave
North Augusta, SC 29841-3350

Phone

(803) 279-1030

Fax

(803) 278-1344

NPI assigned

May 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey N Broder, MD

Title

Ceo

Phone

(803) 279-1030

Specialties & licenses 8

Addresses

Other identifiers 1

Other names 1

• North Augusta Urgent Care Family & Occupational Medicine Center Doing business as

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1871542332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 724928",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311399028",
            "telephone_number": "678-838-1585",
            "fax_number": "678-838-1587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 WEST AVE",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298413350",
            "telephone_number": "803-279-1030",
            "fax_number": "803-278-1344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY N BRODER MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "BRODER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-279-1030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "15157",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "15157",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "SC",
            "license": "15157",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "SC",
            "license": "15157",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "SC",
            "license": "15157",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "SC",
            "license": "15157",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "APN459",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2905",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Augusta Urgent Care Family & Occupational Medicine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Isd Renal Inc
• J. William Thurmond III, MD LLC
• Kimberly Jackson
• Josef Beethoven Jacobson, D.P.T.
• Victoria James, RN
• Jeffrey N Broder MD PC
• Millicent Porter Jenkins, FNP-C
• Faye D Jennings, NP
• David M Jester, MD
• John M. Newell, III , DMD

• General Practice Physician in North Augusta, SC
• Providers in North Augusta, SC by specialty
• General Practice Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; 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.