Active NPIIndividual provider

Kathleen L Broadman, MD

Pediatrics in Bend, Oregon

NPI Number1801909791
Practice location
2500 NE Neff RD, Bend, OR 97701-6015
Fax
541-706-6869
Last updated
January 2, 2024

Kathleen L.s. Broadman is a Pediatrics based in Bend, OR. Kathleen L.s. Broadman practices in Bend, OR and has the professional credentials of MD. The NPI Number for Kathleen L.s. Broadman is 1801909791 and holds a License No. MD151194 (OR). The current practice location address for Kathleen L.s. Broadman is 2500 NE Neff RD, Bend, OR 97701-6015 and can be reached out via phone at 541-706-6892 and via fax at 541-706-6869.

Provider Profile Details

NPI Number
1801909791
Provider Name
Kathleen L.s. Broadman
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2500 NE Neff RD, Bend, OR 97701-6015
Phone Number
541-706-6892
Fax Number
541-706-6869
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Provider Enumeration Date
August 16, 2006
Last Update Date
January 2, 2024
Certification Date
January 2, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
2500 NE Neff RD
Bend, OR 97701-6015
City
Bend
State
Oregon
Zip
97701-6015
Phone Number
541-706-6892
Fax Number
541-706-6869
Bend, OR 97701Get directions →

Provider Business Mailing Address Details

Address
Po Box 6095
Bend, OR 97708-6095
City
Bend
State
OR
Zip
97708-6095
Phone Number
541-706-5922
Fax Number
541-706-6869

License Information

License Number
MD151194
License State
OR
Taxonomy
Pediatrics · 208000000X · 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 Kathleen L Broadman, MD?

The NPI number of Kathleen L Broadman, MD is 1801909791. It was assigned on August 16, 2006 and is currently active in the NPPES registry.

What is the specialty of Kathleen L Broadman, MD?

Kathleen L Broadman, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in OR under license number MD151194.

Where does Kathleen L Broadman, MD practice?

The practice location is 2500 NE Neff RD, Bend, OR 97701-6015. The office can be reached at 541-706-6892 (phone) or 541-706-6869 (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 1801909791 directly on the NPPES registry website.

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