Individual
DR. JOHN E BROADBENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 S 8TH ST, STE 182W, MURRAY, KY 42071-2400
(270) 762-1560
(270) 752-2861
Mailing address
300 S 8TH ST, STE 480W, MURRAY, KY 42071-2400
(270) 762-1560
(270) 752-2861
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
29485
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000215823
BLUE CROSS BLUE SHIELD
KY
01
—
2500783
UNITED HEALTH
KY
01
—
5196668
AETNA
KY
05
—
64294853
—
KY
Enumeration date
10/12/2005
Last updated
08/02/2023
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