Brad Broyles is a Psychiatry in Leesburg, Florida. Brad Broyles practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Brad Broyles is 1629033493. The last update date is 2023-03-07.
Brad Broyles's current location address is Po Box 491000, Leesburg, Florida. You can contact this provider via phone number 3523157500 and fax number 3523606582. The mailing address for Brad Broyles is Po Box 491000, Leesburg, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brad Broyles |
|---|---|
| Address | Po Box 491000, Leesburg, Florida |
| Phone Number | 3523157500 |
| Fax Number | 3523606582 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1629033493 |
|---|---|
| Provider Enumeration Date | 2006-04-17 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | Po Box 491000 |
|---|---|
| City | Leesburg |
| State | Florida (FL) |
| Post Code | 347491000 |
| Phone Number | 3523157500 |
| Fax Number | 3523606582 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | ME 0071307 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 263317500 | FL | -- | |
| 3386 | FL | BLUE CROSS BLUE SHIELD # |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Brad Broyles by the Centers for Medicare & Medicaid Services?
The Brad Broyles has been assigned the NPI (National Provider Identifier) 1629033493 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Brad Broyles's facilities are geographically located?
The facilities of Brad Broyles are physically situated at the following location: Po Box 491000, Leesburg, FL, 347491000.
What is Brad Broyles's specialized field of practice, and what is the corresponding taxonomy classification code?
The Brad Broyles's area of specialization is Psychiatry, and the corresponding taxonomy code that categorizes this field of practice is 2084P0800X.
On what date did Brad Broyles receive its 1629033493 assignment from the Centers for Medicare & Medicaid Services?
The Brad Broyles was assigned its 1629033493 on 2006-04-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Brad Broyles most recently updated?
The details pertaining to the Brad Broyles, including its address, specialty, and other relevant information, were last refreshed on 2023-03-07.