Active NPIIndividual provider

Martin I Broder, MD

Internal Medicine, Cardiovascular Disease in Pittsfield, Massachusetts

NPI Number1316991318
Practice location
777 North St, Cardiology, Pittsfield, MA 01201-4147
Fax
413-499-8539
Last updated
October 28, 2010

Martin Ivan Broder is an Internal Medicine, Cardiovascular Disease based in Pittsfield, MA. Martin Ivan Broder practices in Pittsfield, MA and has the professional credentials of MD. The NPI Number for Martin Ivan Broder is 1316991318 and holds a License No. 48703 (MA). The current practice location address for Martin Ivan Broder is 777 North St, Cardiology, Pittsfield, MA 01201-4147 and can be reached out via phone at 413-395-7580 and via fax at 413-499-8539.

Provider Profile Details

NPI Number
1316991318
Provider Name
Martin Ivan Broder
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
777 North St, Cardiology, Pittsfield, MA 01201-4147
Phone Number
413-395-7580
Fax Number
413-499-8539
Primary Taxonomy
Internal Medicine, Cardiovascular Disease · 207RC0000X
Sole Proprietor
No
Provider Enumeration Date
May 22, 2006
Last Update Date
October 28, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
777 North St
Cardiology
Pittsfield, MA 01201-4147
Zip
01201-4147
Phone Number
413-395-7580
Fax Number
413-499-8539
Pittsfield, MA 01201Get directions →

Provider Business Mailing Address Details

Address
725 North St
Pittsfield, MA 01201
City
Pittsfield
State
MA
Zip
01201
Phone Number
413-447-2752
Fax Number
413-496-6836

License Information

License Number
48703
License State
MA
Taxonomy
Internal Medicine, Cardiovascular Disease · 207RC0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Martin I Broder, MD?

The NPI number of Martin I Broder, MD is 1316991318. It was assigned on May 22, 2006 and is currently active in the NPPES registry.

What is the specialty of Martin I Broder, MD?

Martin I Broder, MD is registered under the primary taxonomy Internal Medicine, Cardiovascular Disease (code 207RC0000X), licensed in MA under license number 48703.

Where does Martin I Broder, MD practice?

The practice location is 777 North St, Cardiology, Pittsfield, MA 01201-4147. The office can be reached at 413-395-7580 (phone) or 413-499-8539 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316991318 directly on the NPPES registry website.

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