Dr. Bernard Broad , MD
Specialist • Princeton, NJ
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. Bernard Broad has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Bernard Broad, MD was a registered Specialist practicing in Princeton, NJ. Throughout an active medical career spanning 16 years, Dr. Broad provided care at the practice location at 253 WITHERSPOON ST until profile deactivation on 2022-01-17.
Practice Location & Contact Primary Location
253 Witherspoon St
Princeton, NJ 085403211
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Princeton, NJ
Practicing in Princeton, NJ (1802 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Specialist
Doctor of Medicine (M.D.)
Specialist
Doctor of Medicine (M.D.)
Specialist
Doctor of Medicine (M.D.)
Specialist
Doctor of Medicine (M.D.)
Specialist
Doctor of Medicine (M.D.)
Specialist
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on January 17, 2022
NPI status registered as active in NPPES database
Registered at 253 WITHERSPOON ST, PRINCETON, NJ 085403211 (Tel: 9729321302)
Registered at PO BOX 3563, PRINCETON, NJ 085433563 (Tel: 9729321302)
Recorded as BERNARD BROAD, MD
Specialist (License #MA21922 in NJ)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
Po Box 3563
Princeton, NJ 085433563
Phone: 9729321302
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