NPI
Samuel Lee Broffitt
NPI 1790882595
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- M.D.
- Type
- Individual
- Enumeration date
- 2006-09-20
- Last updated
- 2007-07-08
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Specialties
Licenses
- License TN
- MD13148
Location
- Practice location
- 1995 Highway 51 S, Suite 202, North Doctors Building
- City
- Covington TN
- Postal code
- 38019-3635
- Phone
- (901) 476-4526
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 Covington, TN. 420 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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