Bryan Kent Broadbent in Farmington - Foot Surgery
Bryan Kent Broadbent - NPI 1215011218
Bryan Kent Broadbent is a Foot Surgery in Farmington, New Mexico. Bryan Kent Broadbent practices all healthcare services and medical treatments related to Foot Surgery. The NPI Number for Bryan Kent Broadbent is 1215011218. The last update date is 2019-10-01.
Bryan Kent Broadbent's current location address is 2300 E 30th St Bldg D-101, Farmington, New Mexico. You can contact this provider via phone number 5053271400 and fax number 5055643202. The mailing address for Bryan Kent Broadbent is 2300 E 30th St Bldg D-101, Farmington, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bryan Kent Broadbent |
|---|---|
| Address | 2300 E 30th St Bldg D-101, Farmington, New Mexico |
| Phone Number | 5053271400 |
| Fax Number | 5055643202 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1215011218 |
|---|---|
| Provider Enumeration Date | 2006-10-25 |
| Last Updated Date | 2019-10-01 |
Provider Mailing Address Detail
| Address | 2300 E 30th St Bldg D-101 |
|---|---|
| City | Farmington |
| State | New Mexico (NM) |
| Post Code | 874018991 |
| Phone Number | 5053271400 |
| Fax Number | 5055643202 |
Provider's Primary Taxonomy Detail
| Speciality | Foot Surgery |
|---|---|
| Taxonomy | 213Es0131X |
| Licence No | POD417 |
|
Definition: A doctor of podiatric medicine who specializes in performing foot and ankle surgeries. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10432353 | NM | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Bryan Kent Broadbent?
The Bryan Kent Broadbent has been issued the NPI (National Provider Identifier) 1215011218 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Bryan Kent Broadbent is geographically located?
The Bryan Kent Broadbent is physically situated at the following location: 2300 E 30Th St Bldg D-101, Farmington, NM, 874018991.
What is Bryan Kent Broadbent's specialized field of practice, and what is the corresponding taxonomy classification code?
The Bryan Kent Broadbent's area of specialization is Foot Surgery, and the corresponding taxonomy code that categorizes this field of practice is 213Es0131X.
On what date did the Bryan Kent Broadbent receive its 1215011218 assignment from the Centers for Medicare & Medicaid Services?
The Bryan Kent Broadbent was assigned its 1215011218 by the Centers for Medicare & Medicaid Services on 2006-10-25.
As of what date was the information regarding Bryan Kent Broadbent, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Bryan Kent Broadbent, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-10-01.
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