Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1801909791 Individual Practitioner Female Practitioner

Dr. Kathleen L.s. Broadman , MD

Pediatrics • Bend, OR

Professional Overview & Biography Verified Profile Summary

Dr. Kathleen Broadman, MD is a registered healthcare professional specializing in Pediatrics in Bend, OR. Practice services are available at 2500 NE NEFF RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2500 Ne Neff Rd

Bend, OR 977016015

Telephone 5417066892
Fax 5417066869
Associated Practice Facility / Clinic
🏢 Bend Anesthesiology Group, Pc Facility NPI 1467400200

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Bend, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.9 Yrs
Regional Practice Density
50 Specialists

Practicing in Bend, OR (880 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

CMS Verified: 2024-01-02
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License OR MD151194

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
500622958 (OR)

Secondary Practice Locations

1080 Mount Bachelor Dr

Bend, OR 977023280

Phone: 5415504400

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Alanna Mozena , MD

Internal Medicine

NPI 1003201476

Doctor of Medicine (M.D.)

NPI 1003311291

Doctor of Medicine (M.D.)

NPI 1003947649

Doctor of Medicine (M.D.)

Dr. Gordon Juriansz , MD

Internal Medicine

NPI 1023151735

Doctor of Medicine (M.D.)

NPI 1033475546

Doctor of Medicine (M.D.)

NPI 1053607457

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location July 28, 2023

Registered at 2500 NE NEFF RD, BEND, OR 977016015 (Tel: 5417066892)

📍
Updated Business Mailing Address July 28, 2023

Registered at PO BOX 6095, BEND, OR 977086095 (Tel: 5417065922)

NPI Profile Active September 12, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location September 12, 2013

Registered at 1080 MOUNT BACHELOR DR, BEND, OR 977023280 (Tel: 5415504400)

📍
Updated Business Mailing Address September 12, 2013

Registered at 1501 NE MEDICAL CENTER DR, BEND, OR 977016051 (Tel: 5413822811)

👤
Provider Name / Credentials Updated September 12, 2013

Recorded as KATHLEEN BROADMAN, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2013

Pediatrics (License #MD151194 in OR)

🟢
Initial NPI Registration & Enumeration August 16, 2006

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: 1801909791
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 16, 2006
Last Update: January 02, 2024
Sole Proprietor: No

Mailing Address

Po Box 6095

Bend, OR 977086095

Phone: 5417065922

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.