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Deactivated NPI 1528360955 Deactivated / Inactive NPI Male Practitioner

William Michael Broyles

Technician, Other • Long Beach, MS

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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, William Broyles has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 17, 2010
NPI Deactivation Date February 07, 2024
Total Practice Duration ~14 Years of Practice (2010 – 2024)

Professional Overview & Biography Verified Profile Summary

William Broyles was a registered Technician, Other practicing in Long Beach, MS. Throughout an active medical career spanning 14 years, William Broyles provided care at the practice location at 100 LAROSA RD. until profile deactivation on 2024-02-07.

Practice Location & Contact Primary Location

Practice Address

100 Larosa Rd.

Long Beach, MS 395604000

Telephone 2288638050
Fax 2288631693

Specialty Benchmarks & Practice Insights

Comparative analytics for Technician, Other in Long Beach, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Long Beach, MS (21 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

Technician, Other Primary Specialty

NUCC Taxonomy Code: 247200000X

State License AL 2184

A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Robert Wylie , BC-HIS

Hearing Instrument Specialist

NPI 1609177179

BCHIS

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 February 07, 2024

Record deactivated on February 07, 2024

NPI Profile Active November 17, 2010

NPI status registered as active in NPPES database

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Updated Practice Location November 17, 2010

Registered at 100 LAROSA RD., LONG BEACH, MS 395604000 (Tel: 2288638050)

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Updated Business Mailing Address November 17, 2010

Registered at 5646 OLD PASCAGOULA RD, MOBILE, AL 366192134 (Tel: 2516531112)

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Provider Name / Credentials Updated November 17, 2010

Recorded as WILLIAM BROYLES

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 17, 2010

Technician, Other (License #2184 in AL)

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Initial NPI Registration & Enumeration November 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: 1528360955
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 17, 2010
Last Update: November 17, 2010
Deactivation Date: February 07, 2024

Mailing Address

5646 Old Pascagoula Rd

Mobile, AL 366192134

Phone: 2516531112

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.