BRUCE CHARLES BROUDY M.D. NPI 1821028481

NPI Information

NPI: 1821028481
Provider Name: BRUCE CHARLES BROUDY, M.D.
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

PECOS Registration: Yes

Address:
1225 S. BROADWAY
SUITE 201
LEXINGTON, KY
ZIP 40504
Phone: (859) 258-4568
Get Directions

Bruce Charles Broudy, M.D. is a pulmonary disease internal medicine in Lexington, KY. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. Bruce Charles Broudy, M.D. NPI is 1821028481. 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:

1225 S. BROADWAY
SUITE 201
LEXINGTON, KY
ZIP 40504-701
Phone: (859) 258-4568
Fax: (859) 258-4698

The NPI 1821028481 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 7/3/2006 and was last updated on 10/10/2012.

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	207RP1001X	Internal Medicine	Pulmonary Disease	18112	KENTUCKY	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	Other Provider Identifier Issuer
1	ASC1019	OTHER	KENTUCKY	MEDICARE ASC GROUP
2	0016950	MEDICARE ID-TYPE UNSPECIFIED	KENTUCKY
3	C64413	MEDICARE UPIN
4	4000501	OTHER	KENTUCKY	MEDICARE LAB GROUP
5	64181126	MEDICAID	KENTUCKY
6	36000818	OTHER	KENTUCKY	MEDICAID ASC GROUP
7	37903705	OTHER	KENTUCKY	MEDICAID LAB GROUP
8	CB5773	OTHER	KENTUCKY	RR MEDICARE GROUP
9	0169	MEDICARE PIN
10	010056744	OTHER	KENTUCKY	RR MEDICARE PIN

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

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