BROAD HEALTH OF NC PC – NPI #1043955396
Family Medicine

The NUCC recommends this code not be used. Choose a more appropriate code.

Health Care Provider Taxonomy Code for Family Medicine

BROAD HEALTH OF NC PC is a provider located in RALEIGH, NC. NPPES has assigned the NPI number 1043955396 to BROAD HEALTH OF NC PC on May 02, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QA0505X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adult Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BROAD HEALTH OF NC PC below.

NPI Profile for
BROAD HEALTH OF NC PC

NPI Number
1043955396
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BROAD HEALTH OF NC PC
Primary location
2626 GLENWOOD AVE STE 550
RALEIGH, NC 27608-1370
Phone: (706) 455-2406 Fax:
Mailing address
154 W 16TH ST # 6-110
NEW YORK, NY 10011-6201
Phone: (617) 513-4838 Fax:
Organization Subpart
No
Authorized Official
MILDRED SANTORUFO
OWNER
Phone: (706) 455-2406
Updated
Certification Date
May 02, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0505X
- Family Medicine / Adult Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.