BROAD HEALTH OF NC PC NPI 1043955396

NPI Information

NPI: 1043955396
Provider Name: BROAD HEALTH OF NC PC
Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

Address:
2626 GLENWOOD AVE STE 550
RALEIGH, NC
ZIP 27608
Phone: (706) 455-2406
Get Directions

BROAD HEALTH OF NC PC is an adult medicine family medicine in Raleigh, NC. The provider is definition to come. BROAD HEALTH OF NC PC NPI is 1043955396. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2626 GLENWOOD AVE STE 550
RALEIGH, NC
ZIP 27608-370
Phone: (706) 455-2406

The provider's authorized official is Mildred Santorufo .
The authorized official title is Owner and has the following contact phone number (706) 455-2406.

The enumeration date for this NPI number is 5/2/2022 and was last updated on 5/2/2022.

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	207QA0505X	Family Medicine	Adult Medicine			Yes

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: 11/14/2023

NPI Synchronization or Removal

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