Individual provider Active NPI

James Broschak, D.O.

  • Emergency Medicine Physician
  • Panama City, FL
National Provider Identifier
1871913251
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS21305 Issued in FL
Practice address
615 N Bonita Ave
Panama City, FL 32401-3623
Phone
(850) 769-1511
NPI assigned
Apr 23, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X DO-06738 IA
Emergency Medicine Physician 207P00000X 02007604A IN
Emergency Medicine Physician 207P00000X OS21305 FL Primary
Emergency Medicine Physician 207P00000X 34.012219 OH
Emergency Medicine Physician 207P00000X 036168086 IL
Emergency Medicine Physician 207P00000X 2868-321 WI
Emergency Medicine Physician 207P00000X 2025030574 MO

Addresses

Primary practice location

615 N Bonita Ave
Panama City, FL 32401-3623

Mailing address

1601 Cummins Dr Ste D
Modesto, CA 95358-6411

Other practice location 1

2213 Cherry St
Toledo, OH 43608-2603
Phone (419) 251-4724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IL, IN, IA, MO, FL6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20160816001715 OH Practitioner - Emergency Medicine 9537453410 Reassigns benefits to 3 organizations
I20240206004489 IL Practitioner - Emergency Medicine 9537453410 Reassigns benefits to 2 organizations
I20240508002164 IN Practitioner - Emergency Medicine 9537453410 Reassigns benefits to 1 organization
I20240830002176 IA Practitioner - Emergency Medicine 9537453410 Reassigns benefits to 1 organization
I20250902003106 MO Practitioner - Emergency Medicine 9537453410 Reassigns benefits to 1 organization
I20260204003719 FL Practitioner - Emergency Medicine 9537453410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Lincoln Mem Univ, Debusk Col of Osteopathic Med, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America LLCGroup PAC ID 6608056171, shared by 18 NPIs, 995 clinicians
Cepamerica Illinois LLPGroup PAC ID 3274793633, 492 clinicians

Practice addresses (Care Compare)

100 Medical PLZ
Lake Saint Louis, MO 63367-1366
Phone (636) 625-5200

12866 Troxler Ave
Highland, IL 62249-2806
Phone (618) 651-2920

3700 Washington Ave
Evansville, IN 47714-0541
Phone (812) 485-4000

615 N Bonita Ave
Panama City, FL 32401-3623
Phone (850) 769-1511

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.74 of 100Reported as group
Quality
73.23
Improvement activities
40
Cost
82.42

Merit-based Incentive Payment System (MIPS)

Final score
80.57 of 100Reported as group
Quality
71.8
Improvement activities
40
Cost
80.85

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
70.94
Improvement activities
40
Cost
92.94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
326827NYMDLicensed Practical Nurse
OS21305FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America LLC Emergency Medicine CurrentSince Dec 8, 2025 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine Current Accepting new patients
Ohio Emergency Professionals Inc Emergency Medicine CurrentSince Oct 5, 2022 Accepting new patients
Physicians Medical Associates New York PC Emergency Medicine CurrentSince Jul 10, 2024 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Apr 5, 2024 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Apr 5, 2024 Accepting new patients
Vituity-Wisconsin Em SC Emergency Medicine CurrentSince Feb 16, 2024 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Jan 23, 2024 Accepting new patients
Physicians Medical Associates New York PC Emergency Medicine Current Accepting new patients
Vituity-Iowa PLLC Emergency Medicine CurrentSince Aug 1, 2024 Accepting new patients
Vituity-Iowa PLLC Emergency Medicine CurrentSince Aug 1, 2024 Accepting new patients
Cep America, LLC Emergency Medicine Current Accepting new patients
Ashland Emergency Group LLC Emergency Medicine CurrentSince Jul 28, 2022 Accepting new patients
Vituity-Wisconsin Em SC Emergency Medicine Current Accepting new patients
St Josephs Hospital of the Hospital Sisters of the Third Order of St F CurrentSince Jan 20, 2026 Accepting new patients
St Josephs Hospital of the Hospital Sisters of the Third Order of St F CurrentSince Jan 20, 2026 Accepting new patients
Cep America LLC Emergency Medicine Current Accepting new patients
Mercy Emergency Care Services, Inc. Emergency Medicine CurrentSince Jun 13, 2016 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Aug 25, 2025 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Jan 23, 2024 Accepting new patients

Locations (25 of 31)

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603

615 N Bonita Ave
Panama City, FL 32401
Phone (850) 747-2020

3801 E Highway 98
Port St Joe, FL 32456
Phone (850) 229-5600

1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437

12866 Troxler Ave
Highland, IL 62249
Phone (618) 651-2600

1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438

200 S Cedar St
Shelbyville, IL 62565
Phone (217) 774-3961

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

100 Medical Plz
Lake St Louis, MO 63367
Phone (636) 625-5200

10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328

105 Marys Ave
Kingston, NY 12401
Phone (845) 334-3080

241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889

255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830

1900 S Main St
Findlay, OH 45840
Phone (419) 423-4500

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

730 W Market St
Lima, OH 45801
Phone (419) 226-4310

1600 E Riverview Ave
Napoleon, OH 43545
Phone (260) 344-3045

2600 Navarre Ave
Oregon, OH 43616
Phone (419) 696-7200

601 US Route 224
Ottawa, OH 45875
Phone (419) 228-8950

Interoperability endpoints

  • Direct secure messaging: jbroschak556478@direct-ehr-ssmhc.com

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1871913251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 CUMMINS DR STE D",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953586411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N BONITA AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324013623",
            "telephone_number": "850-769-1511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2213 Cherry St",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436082603",
            "country_code": "US",
            "telephone_number": "419-251-4724",
            "fax_number": "419-251-2698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROSCHAK",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-23",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "DO-06738",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "02007604A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS21305",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.012219",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036168086",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "2868-321",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2025030574",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.