NPI
Lisa Jackson Broyles
NPI 1417081720
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- MD
- Type
- Individual
- Enumeration date
- 2007-03-16
- Last updated
- 2023-01-26
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Specialties
Licenses
- License NC
- 2016-02352
Location
- Practice location
- 1347 Ozone Dr, Suite 2
- City
- Saluda NC
- Postal code
- 28773-5506
- Phone
- (828) 749-0149
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Saluda, NC. 37 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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