NPI
Jeffrey N Broder Md
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2006-05-10
- Last updated
- 2008-07-11
Specialties
- 207Q00000XFamily Medicine
- 207R00000XInternal Medicine
- 2080A0000XPediatrics, Adolescent Medicine
- 2083P0901XPreventive Medicine, Public Health & General Preventive Medicine
- 2083X0100XPreventive Medicine, Occupational Medicine
- 261QP2300XClinic/Center, Primary Care
- 363LF0000XNurse Practitioner, Family
- 208D00000XGeneral Practice
Licenses
- License SC
- 15157
- License SC
- 15157
- License SC
- 15157
- License SC
- 15157
- License SC
- 15157
- License SC
- APN459
- License SC
- 15157
Location
- Practice location
- 1201 West Ave
- City
- North Augusta SC
- Postal code
- 29841-3350
- Phone
- (803) 279-1030
Organization contact
- Name
- JEFFREY BRODER
- Title
- CEO
- Phone
- 8032791030
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in North Augusta, SC. 652 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
Run it in Rivvi
Check this organization's whole roster against the NPI registry
Deactivated, mismatched or missing NPIs, each with the fix. The kind that get claims denied.
Check the rosterFree to start. Opens Rivvi, the AI workspace for healthcare teams.