BROAD HEALTH, P.A. – NPI #1568107811
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, P.A. is a provider located in LEWES, DE. NPPES has assigned the NPI number 1568107811 to BROAD HEALTH, P.A. on May 02, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. 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

The NPI profile was previously updated about 3 years ago on Mar 14, 2023. 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, P.A. below.

NPI Profile for
BROAD HEALTH, P.A.

NPI Number
1568107811
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, P.A.
Primary location
16192 COASTAL HWY
LEWES, DE 19958-3608
Phone: (402) 650-3424 Fax:
2 Other location(s):
1800 Pembrook Dr Ste 300
Orlando, FL 32810-6378
Phone: (617) 513-4838
625 Kenmoor Ave SE
Grand Rapids, MI 49546-2395
Phone: (402) 650-3424
Mailing address
154 W 16TH ST # 6-110
NEW YORK, NY 10011-6201
Phone: (617) 513-4838 Fax:
Organization Subpart
No
Authorized Official
JAMES STAHELI
OWNER
Phone: (402) 650-3424
Updated
Certification Date
Mar 14, 2023

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.