Individual
BRUCE CHARLES BROUDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1225 S. BROADWAY, SUITE 201, LEXINGTON, KY 40504-2701
(859) 258-4568
(859) 258-4698
Mailing address
1225 S. BROADWAY, SUITE 201, LEXINGTON, KY 40504-2701
(859) 258-4568
(859) 258-4698
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
18112
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010056744
RR MEDICARE PIN
KY
01
—
36000818
MEDICAID ASC GROUP
KY
01
—
37903705
MEDICAID LAB GROUP
KY
01
—
4000501
MEDICARE LAB GROUP
KY
05
—
64181126
—
KY
01
—
ASC1019
MEDICARE ASC GROUP
KY
01
—
CB5773
RR MEDICARE GROUP
KY
Enumeration date
07/03/2006
Last updated
10/10/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us