J Thomas Broyles, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35-039714 Issued in OH

Practice address

3440 Riverside Dr
Upper Arlington, OH 43221-1743

Phone

(614) 459-0077

Fax

(614) 459-3355

NPI assigned

Apr 7, 2006

Last updated

Jun 1, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Family Practice

Education

Ohio State University College of Medicine, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Ohio Nutrition Center IncGroup PAC ID 8426081357, 13 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Central Ohio Nutrition Center, Inc

  • Family Medicine Physician
  • Columbus, OH
  • NPI 1528245685
  Medicare reassignment Care Compare group NPD
• Central Ohio Nutrition Center

  • Family Medicine Physician
  • Columbus, OH
  • NPI 1083891147
  NPD
• Central Ohio Nutrition Center, Inc

  • Family Medicine Physician
  • Gahanna, OH
  • NPI 1225197262
  NPD
• Central Ohio Primary Care Physicians, Inc.

  • Clinical Medical Laboratory
  • Westerville, OH
  • NPI 1639279045
  NPD (past)
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306886400000",
    "number": "1902869373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 RIVERSIDE DR",
            "city": "UPPER ARLINGTON",
            "state": "OH",
            "postal_code": "432211743",
            "telephone_number": "614-459-0077",
            "fax_number": "614-459-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 RIVERSIDE DR",
            "city": "UPPER ARLINGTON",
            "state": "OH",
            "postal_code": "432211743",
            "telephone_number": "614-459-0077",
            "fax_number": "614-459-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROYLES",
        "first_name": "J",
        "middle_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2011-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-039714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0315680",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Ashley Brackman, DPT
• Elizabeth L Braley, PT, DPT, OCS, CSCS
• Jillian R Brigle, ATC
• Angela Marie Brown, PA
• Ceselee Browning, L.M.T.
• Amanda Brunetti
• Errol Bueche
• Margaret E Cagnoli, PT
• Marisa Cahall, PH.D.
• Erica Dawn Campbell-Brown, C.N.P.

• Family Medicine Physician in Upper Arlington, OH
• Providers in Upper Arlington, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; 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.