MR. RICHARD H BROACH APNP NPI 1588605257

NPI Information

NPI: 1588605257
Provider Name: MR. RICHARD H BROACH, APNP
Classification: Clinical Nurse Specialist - 364SP0809X
Entity Type: Individual

Specialization: Psychiatric/Mental Health, Adult

PECOS Registration: Yes

Address:
309 E NORTH ST
WAUKESHA, WI
ZIP 53188
Phone: (414) 672-1353
Get Directions

MR. Richard H Broach, APNP is a psychiatric/mental health and adult clinical nurse specialist in Waukesha, WI. MR. Richard H Broach, APNP NPI is 1588605257. 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:

309 E NORTH ST
WAUKESHA, WI
ZIP 53188-718
Phone: (414) 672-1353
Fax: (414) 385-7552

The NPI 1588605257 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 6/10/2006 and was last updated on 6/15/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	3576125	WISCONSIN	No
2	364SP0809X	Clinical Nurse Specialist	Psychiatric/Mental Health, Adult	4270	WISCONSIN	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	40995000	MEDICAID	WISCONSIN
2	521830	MEDICARE OSCAR/CERTIFICATION	WISCONSIN
3	521805	MEDICARE OSCAR/CERTIFICATION	WISCONSIN
4	015450123	MEDICARE PIN	WISCONSIN

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »