Julie Kajor Broadwell, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.1982 Issued in AL

Practice address

7540 Cipriano CT Ste C
Fairhope, AL 36532-3029

Phone

(251) 990-1985

NPI assigned

Sep 29, 2014

Last updated

Apr 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• WK Signature Urology Clinic

  • Urology Physician
  • Shreveport, LA
  • NPI 1225093610
  Medicare reassignment
• Robert C. Brown, M.D. P.C.

  dba Brown & McCool OB GYN

  • Obstetrics Physician
  • Fairhope, AL
  • NPI 1215005434
  NPD (past)
• Willis Knighton Medical Center, Inc.

  dba WK Bossier Health Center

  • General Acute Care Hospital
  • Bossier City, LA
  • NPI 1003968579
  NPD (past)

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1891198354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7540 CIPRIANO CT STE C",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365323029",
            "telephone_number": "251-990-1985",
            "fax_number": "251-990-1986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7540 CIPRIANO CT STE C",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365323029",
            "telephone_number": "251-990-1985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROADWELL",
        "first_name": "JULIE",
        "middle_name": "KAJOR",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-29",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA.1982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.mettles.com/",
            "affiliation": "N",
            "endpointDescription": "2.16.840.1.113883.3.6037.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "10320 Little Patuxent Pkwy Ste 233-02",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210443313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eugene Willis Brabston Jr., D.M.D.
• Kathryn Denise Brannon, APRN
• Howard L Brazil, MD
• Jeanette W Breslin, M.D.
• Redonda Smith Britton
• Michael Broadwell, MD
• Tiffinie Brockner, PHARMD.
• Brandon Bromberg, LMT
• Brown and McCool Lasers, LLC (Brown and McCool Wellness Center)
• Lindsay Manning Brown, PA-C

• Physician Assistant in Fairhope, AL
• Providers in Fairhope, AL by specialty
• Physician Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.