Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. STEPHEN MATTHEW BROADDUS, PA
ActiveMR. STEPHEN MATTHEW BROADDUS, PA is a Physician Assistant healthcare provider located in SAINT LOUIS, Missouri. NPI 1033452107 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SAINT LOUIS, MO
Registration Details
- NPI Number
- 1033452107
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 27, 2013 (13.385426651762 yrs)
- Last Updated
- Apr 15, 2025
- License
-
2013009164 (MO)
Practice Information
- Address
-
4921 PARKVIEW PLDEPT ORTHOPAEDIC SURGERY, STE 6A/6B/12ASAINT LOUIS, MO, 631101032Browse MO providers · Browse ZIP 63110
- Phone
- 3145143500
- Fax
- 3148787678
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in SAINT LOUIS, MO
| Name | Credential | NPI |
|---|---|---|
| MR. JEREMY D DUNBARR | P.A. | 1831191014 |
| JAMIE LYNN SHEDELBOWER | PA | 1033115480 |
| BRYON J WITZEL | PA-C | 1528065844 |
| MR. JASON B GAY | PA-C | 1518964378 |
| MS. BROOKE NEILLY VANANNE | PA | 1699757955 |
| RENEE AMATO | PA | 1922085356 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.