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Deactivated NPI 1003135930 Deactivated / Inactive NPI Male Practitioner

Dr. Lewis T Broschard , MD

General Practice • Fairfield, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Lewis Broschard has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 17, 2010
NPI Deactivation Date September 11, 2024
Total Practice Duration ~14 Years of Practice (2010 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Lewis Broschard, MD was a registered General Practice practicing in Fairfield, CA. Throughout an active medical career spanning 14 years, Dr. Broschard provided care at the practice location at 2720 LOW CT until profile deactivation on 2024-09-11.

Practice Location & Contact Primary Location

Practice Address

2720 Low Ct

Fairfield, CA 945349771

Telephone 7078640356
Fax 7074282740
Associated Practice Facility / Clinic
🏢 Solano Regional Medical Group Facility NPI 1316003817

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Fairfield, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 31.1 Yrs
Regional Practice Density
14 Specialists

Practicing in Fairfield, CA (2300 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License CA G22557

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Anita Durham , RD, CDE

Dietitian, Registered

NPI 1215270939

Registered Dietitian, Certified Diabetes Educator

Jennifer Culp , RD

Dietitian, Registered

NPI 1366698045

Registered Dietitian

Mary Maxin , RN, CDE

Registered Nurse - Diabetes Educator

NPI 1477790335

Registered Nurse, Certified Diabetes Educator

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 11, 2024

Record deactivated on September 11, 2024

NPI Profile Active July 03, 2014

NPI status registered as active in NPPES database

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Updated Practice Location July 03, 2014

Registered at 2720 LOW CT, FAIRFIELD, CA 945349771 (Tel: 7078640356)

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Updated Business Mailing Address July 03, 2014

Registered at 10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 958272539 (Tel: 7074274900)

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Provider Name / Credentials Updated July 03, 2014

Recorded as LEWIS BROSCHARD, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2014

General Practice (License #G22557 in CA)

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Initial NPI Registration & Enumeration May 17, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003135930
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 17, 2010
Last Update: July 03, 2014
Deactivation Date: September 11, 2024

Mailing Address

10470 Old Placerville Rd, Suite 100

Sacramento, CA 958272539

Phone: 7074274900

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.