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NPI · 1073672481 · NPPES-sourced

Charles Broberg Dc, PA,

ActivePhysician Assistant
NPI Number
1073672481
Type 1 · Individual
Taxonomy Code
363A00000X
Contact
(605) 312-1000
License SD · 0922
Last Updated
About 5 years ago (Jun 2020)
Enumerated 2006-12-08
Primary practice addressSD · 57105-1521
1600 W 22nd StSioux Falls, SD 57105-1521
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About this NPIWhat this record shows.

NPI 1073672481 is registered to Charles Broberg Dc, PA,, a Physician Assistant practising at 1600 W 22nd St in Sioux Falls, South Dakota. Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Charles Broberg Dc, PA, has been enumerated in the National Provider Identifier (NPI) registry since 2006.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2006-12-08
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Other

  • 0005375SD· Issued by BCBS
  • BR021953ND· Issued by BCBS

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Charles Broberg Dc, PA, accepts. To confirm in-network status with your specific health plan, contact Charles Broberg Dc, PA, directly at (605) 312-1000.

Frequently asked

Yes. NPI 1073672481 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (605) 312-1000.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Charles Broberg Dc, PA, is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363A00000X
Last updated2020-06
Enumerated2006-12-08
StatusActive
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2 records · same addressOther providers at this location.

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Same specialtyOther Physician Assistant providers in South Dakota.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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