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JOHN A BROYLES MD NPI 1811981368


NPI Information

NPI: 1811981368
Provider Name: JOHN A BROYLES, MD
Classification: Dermatology - 207N00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1157 FORSYTH ST
MACON, GA
ZIP 31201
Phone: (478) 745-8581
Get Directions

John A Broyles, MD is a dermatology in Macon, GA. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. John A Broyles, MD NPI is 1811981368. 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:

1157 FORSYTH ST
MACON, GA
ZIP 31201-452
Phone: (478) 745-8581
Fax: (478) 328-0438

The NPI 1811981368 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 9/9/2005 and was last updated on 4/22/2015.


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
1207NP0225XDermatologyPediatric Dermatology013257GEORGIANo
2207NS0135XDermatologyProcedural Dermatology013257GEORGIANo
3208D00000XGeneral Practice013257GEORGIANo
4207ND0900XDermatologyDermatopathology013257GEORGIANo
5207N00000XDermatology013257GEORGIAYes

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
1000009501MEDICAIDGEORGIA
2GRP6800MEDICARE PINGEORGIA
3P00176976OTHERGEORGIARAILROAD MEDICARE
4DC4061OTHERGEORGIARAILROAD MEDICARE
5D44952MEDICARE UPIN
607BBSQDMEDICARE PINGEORGIA

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

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.