| Kevin Stanley Broaddrick, DPM | |
|
6739 W Cactus Rd, Peoria, AZ 85381-5311 | |
| (833) 242-0100 | |
| (602) 805-4745 |
| Full Name | Kevin Stanley Broaddrick |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 34 Years |
| Location | 6739 W Cactus Rd, Peoria, Arizona |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639188394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | POD-000814 (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Angels Valley Community Healthcare Center Pllc | 8628452927 | 23 |
| Provider Name | Arizona Doctors Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1033507033 PECOS PAC ID: 8123347325 Enrollment ID: O20150511001806 |
| Provider Name | Sip Home Systems - Mesa Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780215681 PECOS PAC ID: 7618306820 Enrollment ID: O20200408003204 |
| Provider Name | Sip Home Systems - Sun City Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1801427844 PECOS PAC ID: 4981035193 Enrollment ID: O20200501002790 |
| Provider Name | Angels Valley Community Healthcare Center Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1689303117 PECOS PAC ID: 8628452927 Enrollment ID: O20220906002813 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Stanley Broaddrick, DPM 3149 E Hazeltine Way, Chandler, AZ 85249-9066 Ph: (414) 702-0954 | Kevin Stanley Broaddrick, DPM 6739 W Cactus Rd, Peoria, AZ 85381-5311 Ph: (833) 242-0100 |
Kaveh Panahi, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 13760 N 93rd Ave Ste 111, Peoria, AZ 85381 Phone: 623-439-2200 Fax: 623-439-7370 | |
Tanya L Thoms, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 9045 W Athens St, Peoria, AZ 85382 Phone: 623-760-5802 Fax: 623-572-3449 | |
Keith Thomas Bangart, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 13660 N 94th Dr, #f1, Peoria, AZ 85381 Phone: 623-974-0522 Fax: 623-933-5787 | |
Kathleen M Stone, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 8325 W Happy Valley Rd, Unit 105, Peoria, AZ 85383 Phone: 602-547-2111 Fax: 602-547-0473 | |
Dr. John David Knochel, D.P.M Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 9069 W Thunderbird Rd, Peoria, AZ 85381 Phone: 623-977-7201 Fax: 623-876-2879 | |
Ryan Daniel Bangart, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 13660 N 94th Dr Ste D1, Peoria, AZ 85381 Phone: 623-974-0522 Fax: 623-933-5787 | |
David M. Bates, Dpm, Pllc Podiatrist Medicare: Medicare Enrolled Practice Location: 15182 N 75th Ave, Suite 180, Peoria, AZ 85381 Phone: 623-243-5737 Fax: 623-399-4091 |