Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRYAN KENT BROADBENT, DPM
ActiveBRYAN KENT BROADBENT, DPM is a Foot Surgery Podiatrist healthcare provider located in FARMINGTON, New Mexico. NPI 1215011218 is currently active in the NPPES registry. Verify at CMS.
Foot Surgery Podiatrist · FARMINGTON, NM
Registration Details
- NPI Number
- 1215011218
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 25, 2006 (19.766859023723 yrs)
- Last Updated
- Oct 1, 2019
- Licenses
-
POD417 (NM)DP 00375 (OR)POD.0000831 (CO)
Practice Information
- Address
-
2300 E 30TH ST BLDG D-101FARMINGTON, NM, 874018991Browse NM providers · Browse ZIP 87401
- Phone
- 5053271400
- Fax
- 5055643202
- Primary Specialty
-
Foot Surgery Podiatrist
213ES0131X
- Additional Specialty
- Foot Surgery Podiatrist
- Additional Specialty
- Foot Surgery Podiatrist
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.