BRANNON G BROADFOOT NPI 1073045407

NPI Information

  • NPI: 1073045407
  • Provider Name: BRANNON G BROADFOOT
  • Classification: Pathology - 207ZP0007X
  • Specialization: Molecular Genetic Pathology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4301 W MARKHAM ST # 774
    LITTLE ROCK, AR
    ZIP 72205
  • Phone: (501) 686-5170

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NPI Details

Brannon G Broadfoot is a molecular genetic pathology pathology in Little Rock, AR with 9 years of experience. The provider is a molecular genetic pathologist is expert in the principles, theory and technologies of molecular biology and molecular genetics. This expertise is used to make or confirm diagnoses of Mendelian genetic disorders, disorders of human development, infectious diseases and malignancies, and to assess the natural history of those disorders. A molecular genetic pathologist provides information about gene structure, function and alteration and applies laboratory techniques for diagnosis, treatment and prognosis for individuals with related disorders. Brannon G Broadfoot NPI is 1073045407. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduation Year:2017

The provider's business location address is:

4301 W MARKHAM ST # 774
LITTLE ROCK, AR
ZIP 72205-101
Phone: (501) 686-5170
Fax: (501) 686-7155

The NPI 1073045407 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Microscopic genetic analysis of tissue, computer-assisted technology, initial procedure, each multiplex procedure (HCPCS:88374)
  • Cell examination of specimen, selective cellular enhancement technique (HCPCS:88112)
  • Microscopic genetic analysis of tissue, computer-assisted technology, initial procedure (HCPCS:88367)
  • Molecular pathology procedure; physician interpretation and report (HCPCS:G0452)
  • Microscopic genetic analysis of tissue, computer-assisted technology, each additional procedure (HCPCS:88373)

The enumeration date for this NPI number is 4/3/2017 and was last updated on 9/9/2025.

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
1207ZP0102XPathologyAnatomic Pathology & Clinical PathologyE15530ARKANSASNo
2207ZP0007XPathologyMolecular Genetic PathologyE-15530ARKANSASYes

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: 11/21/2025

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