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SAMUEL B BROADDUS MD NPI 1326094335


NPI Information

NPI: 1326094335
Provider Name: SAMUEL B BROADDUS, MD
Classification: Urology - 208800000X
Entity Type: Individual
Address:
81 MEDICAL CENTER DR
SUITE 2350
BRUNSWICK, ME
ZIP 04011
Phone: (207) 373-6690
Get Directions

Samuel B Broaddus, MD is an urology in Brunswick, ME. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. Samuel B Broaddus, MD NPI is 1326094335. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

81 MEDICAL CENTER DR
SUITE 2350
BRUNSWICK, ME
ZIP 04011-764
Phone: (207) 373-6690
Fax: (207) 373-6695

The enumeration date for this NPI number is 5/25/2006 and was last updated on 1/21/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrologyMD11648MAINEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1B85658MEDICARE UPIN
2GX4844MEDICARE PIN
330007671MEDICAIDNEW HAMPSHIRE
4P00687956MEDICARE PINMAINE
5263730099MEDICAIDMAINE
601555201MEDICARE PINMAINE
701555202MEDICARE PINMAINE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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