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Provider record · NPI 1124670922 · active

BROAD STREET MEDICAL LLC

Vascular Surgery Physician in PHILADELPHIA, Pennsylvania

Record

NPI
1124670922
Type
Organization (NPI-2)
Specialty
Vascular Surgery Physician (2086S0129X)
Practice location
PHILADELPHIA PA 19148
Practice phone
2158091447
Last updated
2019-07-11

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Contact details

Work email
Not on file
Home address
Not matched
Cell phone
Not matched

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Leadership on file

1 named leadership contact on file, by role:

Operations
1

Executives, officers and owners as public filings name them, with the title each filing gives them. Leadership across US healthcare, by role.

What they bill and prescribe

The procedures this provider billed Medicare for, code by code, and the drugs they prescribed under Part D — from published Medicare data for 2024, for signed-in customers. Search can be filtered on either by name, so “knee replacement” and “Eliquis” are queries rather than codes.

Published Medicare fee-for-service data for 2024, covering about one in seven clinicians nationally, and more in the specialties that bill it most — not all-payor claims, and low-volume providers are removed before publication. A provider with nothing published has no published Medicare volume, which covers no volume, volume below the publication threshold and not billing Medicare at all — the published data does not separate them. Provider-level aggregates only; nothing patient-level exists here. What it covers.

Also in the record

Group affiliations and employers, facility ownership, programme standing and licence detail appear here for signed-in customers.

Similar organisations

Organisations like BROAD STREET MEDICAL LLC

OrganisationTypeLocationBeds
Broad Street Professional Medical Services LLCVascular Surgery PhysicianPhiladelphia, PA—
Drexel UniversityVascular Surgery PhysicianPhiladelphia, PA—
Graduate Vascular and Endovascular Associates, LLCVascular Surgery PhysicianPhiladelphia, PA—
Nazareth Physician Services IncVascular Surgery PhysicianPhiladelphia, PA—
Northeast Philadelphia Vascular Surgeons PCVascular Surgery PhysicianPhiladelphia, PA—
Pennsylvania Vascular Associates, P.C.Vascular Surgery PhysicianPhiladelphia, PA—
Temple Faculty Practice Plan, IncVascular Surgery PhysicianPhiladelphia, PA—
Temple University of the Commonwealth System of Higher EducationVascular Surgery PhysicianPhiladelphia, PA—
FAQ

About BROAD STREET MEDICAL LLC

Who runs BROAD STREET MEDICAL LLC?

1 named leadership contact is on file (operations 1). Names and titles are available to signed-in customers.

Reach the people behind BROAD STREET MEDICAL LLC

An NPI is an identifier, not a credential: it says this provider is enumerated, not that they are licensed or in good standing today.

BROAD STREET MEDICAL LLC · NPI 1124670922 · NPI Mark