Broadhurst, James B

Broadhurst, James B is an individual health care provider with primary practice located at 119 Belmont St Department Of Family Practice, Worcester MA 01605-2903. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Broadhurst, James B can be contacted via phone (508) 334-6152.

Contact Information

Primary practice address
119 Belmont St Department Of Family Practice Worcester MA 01605-2903
Phone: (508) 334-6152
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 51422 Massachusetts
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 51422 Massachusetts

Profile Details

NPI number 1457334351
LBN Legal business name Broadhurst, James B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated May 23rd, 2024 - about 7 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457334351 NPPES
Massachusetts MEDICAID 6190685

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