NANCY A VANDER BROEK DO NPI 1679541072

NPI Information

  • NPI: 1679541072
  • Provider Name: NANCY A VANDER BROEK, DO
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • Address: 405 MONROE ST
    PELLA, IA
    ZIP 50219
  • Phone: (641) 628-3832

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NPI Details

Nancy A Vander Broek, DO is a general practice in Pella, IA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Nancy A Vander Broek, DO NPI is 1679541072. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

405 MONROE ST
PELLA, IA
ZIP 50219-189
Phone: (641) 628-3832
Fax: (641) 628-8894

The enumeration date for this NPI number is 3/10/2006 and was last updated on 10/15/2007.

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
1208D00000XGeneral Practice02420IOWAYes

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 Other Provider Identifier Issuer
11064832MEDICAIDIOWA
256088MEDICARE PINIOWA
3A12779MEDICARE UPINIOWA
4080099542OTHERIOWARAILROAD MEDICARE
556088MEDICARE ID-TYPE UNSPECIFIEDIOWAMEDICARE #

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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