Broderick Daryl King, MD - Medicare Internal Medicine in South Boston, VA

Broderick Daryl King, MD is a medicare enrolled "Internal Medicine" physician in South Boston, Virginia. He went to Meharry Medical College School Of Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Piedmont Access To Health Services Inc and his current practice location is 101 Aubreys Loop, South Boston, Virginia. You can reach out to his office (for appointments etc.) via phone at (434) 517-3879.

Broderick Daryl King is licensed to practice in Virginia (license number 0101234095) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1770551889.

Contact Information

Broderick Daryl King, MD
101 Aubreys Loop,
South Boston, VA 24592-5056
(434) 517-3879
(434) 517-3989

Map and Direction




Physician's Profile

Full NameBroderick Daryl King
GenderMale
SpecialityInternal Medicine
Experience28 Years
Location101 Aubreys Loop, South Boston, Virginia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Broderick Daryl King attended and graduated from Meharry Medical College School Of Medicine in 1996
  NPI Data:
  • NPI Number: 1770551889
  • Provider Enumeration Date: 03/14/2006
  • Last Update Date: 12/27/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 2264490804
  • Enrollment ID: I20041229000133

Medical Identifiers

Medical identifiers for Broderick Daryl King such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770551889NPI-NPPES
288916OtherVABCBS
005882451MedicaidVA
62491OtherVAOPTIMA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 0101234095 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Commonwealth Home Health IncSouth boston, VAHome health agency
Sentara Halifax Regional HospitalSouth boston, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Piedmont Access To Health Services Inc347651242726

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Broderick Daryl King allows following entities to bill medicare on his behalf.
Entity NameDominion Health Medical Assoc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255771770
PECOS PAC ID: 1254311558
Enrollment ID: O20041206000840
Entity NamePiedmont Access To Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649240698
PECOS PAC ID: 3476512427
Enrollment ID: O20050304000592
Entity NamePiedmont Access To Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235677634
PECOS PAC ID: 3476512427
Enrollment ID: O20170920001334

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Broderick Daryl King is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Broderick Daryl King, MD
101 Aubreys Loop,
South Boston, VA 24592-5056

Ph: (434) 517-3879
Broderick Daryl King, MD
101 Aubreys Loop,
South Boston, VA 24592-5056

Ph: (434) 517-3879

Reviews and Comments


Internal Medicine Doctors in South Boston, VA

Dr. Amar A Parikh, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2045 Hamilton Boulevard, South Boston, VA 24592
Phone: 434-572-6565    Fax: 434-572-4322
Dr. Fuad Shatila, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 2232 Willborn Ave, South Boston, VA 24592
Phone: 434-517-3705    
Roger W Browne, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2100 Wilborn Ave, South Boston, VA 24592
Phone: 434-572-6946    Fax: 434-572-6675
Dr. Chad Michael Henry, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2210 Wilborn Ave, South Boston, VA 24592
Phone: 434-517-3827    
Richard W Davis, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1627 Seymour Dr, South Boston, VA 24592
Phone: 434-517-0611    Fax: 434-572-6675
Dr. Sherry Lene Hall, M.D
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2202-a Beechmont Road, South Boston, VA 24592
Phone: 434-575-6300    Fax: 434-575-8300
Suresh Gehan Jayatilaka, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1129 N Main St Ste G, South Boston, VA 24592
Phone: 434-572-8196    Fax: 434-572-8341

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.