Organization
JEFFREY N BRODER MD
Active
Other names
North Augusta Urgent Care Family & Occupational Medicine Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY N BRODER MD (CEO)
(803) 279-1030
Entity
Organization
Contact information
Practice address
1201 WEST AVE, NORTH AUGUSTA, SC 29841-3350
(803) 279-1030
(803) 278-1344
Mailing address
PO BOX 724928, ATLANTA, GA 31139-9028
(678) 838-1585
(678) 838-1587
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
15157
SC
207R00000X
Internal Medicine Physician
15157
SC
2080A0000X
Pediatric Adolescent Medicine Physician
15157
SC
2083P0901X
Public Health & General Preventive Medicine Physician
15157
SC
2083X0100X
Occupational Medicine Physician
15157
SC
208D00000X
General Practice Physician
Primary
15157
SC
261QP2300X
Primary Care Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
APN459
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2905
—
SC
Enumeration date
05/10/2006
Last updated
07/11/2008
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