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NPI · 1205885902 · NPPES-sourced

Dr. Kevin Broder MD

ActivePlastic Surgery Physician
NPI Number
1205885902
Type 1 · Individual
Taxonomy Code
208200000X
Contact
(858) 453-7224
License CA · A82409
Last Updated
Enumerated
Primary practice addressCA · 92121
4510 Executive Drive, Suite 200San Diego, CA 92121
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About this NPIWhat this record shows.

NPI 1205885902 is registered to Dr. Kevin Broder MD, a Plastic Surgery Physician practising at 4510 Executive Drive, Suite 200 in San Diego, California. Plastic Surgery Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Dr. Kevin Broder MD has been enumerated in the National Provider Identifier (NPI) registry since 2006.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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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

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.

Order and Referring Only

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 Dr. Kevin Broder MD accepts. To confirm in-network status with your specific health plan, contact Dr. Kevin Broder MD directly at (858) 453-7224.

Frequently asked

Yes. NPI 1205885902 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Plastic Surgery Physician 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 (858) 453-7224.

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. Dr. Kevin Broder MD is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy208200000X
Last updated
Enumerated
StatusActive
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