MARK A. BROADBENT MD – NPI #1841553088
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Health Care Provider Taxonomy Code for Radiology

MARK BROADBENT is a radiologist located in TACOMA, WA. NPPES has assigned the NPI number 1841553088 to MARK BROADBENT on June 22, 2012. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 2 years ago on Apr 25, 2024. 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 MARK BROADBENT below.

NPI Profile for
MARK A. BROADBENT

NPI Number
1841553088
Enumeration Date

(about 14 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MARK A. BROADBENT
Credentials
MD
Primary location
2502 S UNION AVE
TACOMA, WA 98405-1328
Phone: (253) 841-4653 Fax: (253) 446-3973
2 Other location(s):
222 15th Ave SE
Puyallup, WA 98372-3754
Phone: (253) 841-4353
Fax: (253) 583-8630
1304 Fawcett Ave Ste 100
Tacoma, WA 98402
Phone: (253) 761-4200
Fax: (253) 761-4201
Mailing address
1304 FAWCETT AVE STE 100
TACOMA, WA 98402-1900
Phone: (253) 761-4200 Fax:
Sole Proprietor
No
Updated
Certification Date
Apr 25, 2024

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.

Identifiers

Identifiers for MARK BROADBENT

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
otherLNI-DINWWA0389199
otherLNI-TRA KING COUNTYWA0389197
otherLNI-TRA REST OF WAWA0389196
otherLNI-UAOMWA0389198
medicaidOR500744919
medicaidWA2097736
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
2085R0202X
- Radiology / Diagnostic Radiology (Primary)		 OR MD188795
2085N0700X
- Radiology / Neuroradiology		 OR MD188795

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.

Additional Information

Education
CLEVELAND CLINIC LERNER COLLEGE OF MEDICINE OF CASE WESTERN RESERVE UNIVERSITY - Graduated 2012
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
MARK BROADBENT is affiliated with the following medical group(s):
  • HOSPITAL
    • MULTICARE GOOD SAMARITAN HOSPITAL
      401 15TH AVENUE SE
      PUYALLUP, WA 98372
    • ST ANTHONY HOSPITAL
      11567 CANTERWOOD BOULEVARD NW
      GIG HARBOR, WA 98332
    • ST FRANCIS COMMUNITY HOSPITAL
      34515 9TH AVENUE SOUTH
      FEDERAL WAY, WA 98003
    • ST JOSEPH MEDICAL CENTER
      1717 SOUTH J STREET
      TACOMA, WA 98405
    • TACOMA GENERAL ALLENMORE HOSPITAL
      315 S MLK JR WAY
      TACOMA, WA 98405

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.