Broaddus, Russell R.
Broaddus, Russell R. is an individual health care provider with primary practice located at 101 Manning Dr , Chapel Hill NC 27514-4220. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Broaddus, Russell R. can be contacted via phone (919) 966-4676.Contact Information
Primary practice address
101 Manning Dr
Chapel Hill NC 27514-4220
Phone: (919) 966-4676
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 2019-02095 | North Carolina |
Profile Details
| NPI number | 1891881967 |
|---|---|
| LBN Legal business name | Broaddus, Russell R. |
| Credentials | M.D., PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Mar 29th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891881967 | NPPES |
| Texas | MEDICAID | 117205802 |
Popular Providers
-
Cho, Benjamin Bumjoon
101 Manning Dr , Chapel Hill NC 27514-4220 -
O'Connor, Siobhan M
Womens And Childrens Hospitals Clb # 7525 101 Manning Drive, Chapel Hill NC 27599-7525 -
Silverman, Jan Franklin
101 Manning Dr , Chapel Hill NC 27514-4220 -
Samulski, Teresa Danielle
Campus Box #7525, Brinkhous-Bullitt Building , Chapel Hill NC 27599-2759 -
Bookhout, Christine Elizabeth
101 Manning Dr Cb# 7525, Chapel Hill NC 27514-4220 -
Stone, Roger William
101 Manning Dr 3Rd Floor Women'S & Children'S Hosp, Room 30149, Chapel Hill NC 27514-4220 -
Gaffney-Kraft, Maryanne
101 Manning Dr , Chapel Hill NC 27599-0001 -
Williams, David C
101 Manning Dr , Chapel Hill NC 27514-4220