DR. WILLIAM C BROADDUS (NPI# 1033140694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033140694 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM C BROADDUS |
| Credential | M.D., PH.D. |
| Practice Address |
1250 E Marshall Street Neurosurgery Richmond VA 23298-0631 |
| Mailing Address |
Po Box 91734 Richmond VA 23291-1734 |
| Practice Telephone | 8048282437 |
| Practice Fax Number | 8048284493 |
| Mailing Telephone | 8043586100 |
| Mailing Fax Number | 8043427619 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 0101046585 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
1250 E MARSHALL STREET NEUROSURGERY |
| City | RICHMOND |
| State | VA |
| Zip Code | 23298-0631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023015229 | Stewart James Wetchler | Obstetrics & Gynecology | 1250 E Marshall Street, Richmond, VA 23298-0510 | 2005-07-01 |
| 1114541927 | Christopher K Brown Jr. | Student in an Organized Health Care Education/Training Program | 1250 E Marshall Street, Vcuhs Dept of Emergency Medicine Residency 980401, Richmond, VA 23298-0401 | 2020-06-08 |
| 1497241210 | Samia Liaquat | Student in an Organized Health Care Education/Training Program | 1250 E Marshall Street, 980662, Richmond, VA 23298 | 2018-07-04 |
| 1528557071 | Katherine Ann Shalit | Student in an Organized Health Care Education/Training Program | 1250 E Marshall Street, Richmond, VA 23298 | 2018-05-09 |
| 1669869632 | Meaghan Moxley | Student in an Organized Health Care Education/Training Program | 1250 E Marshall Street, Box 980163, Richmond, VA 23298 | 2015-04-17 |
| 1831503465 | Justin Heizer | Internal Medicine | 1250 E Marshall Street, Po Box 980053, Richmond, VA 23298 | 2014-06-11 |
| 1982027413 | Tara Angela Albrecht | Nurse Practitioner | 1250 E Marshall Street, Richmond, VA 23298-0510 | 2014-02-04 |
| 1407191174 | Christi Freeman | Nurse Anesthetist, Certified Registered | 1250 E Marshall Street, Anesthesiology, Richmond, VA 23298 | 2012-12-06 |
| 1174868210 | Terise L Anderson | Nurse Anesthetist, Certified Registered | 1250 E Marshall Street, Anesthesiology, Richmond, VA 23298 | 2012-11-30 |
| 1154676765 | Erlanger A Turner | Psychologist | 1250 E Marshall Street, Richmond, VA 23298-0510 | 2012-07-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730703604 | Russell Wayne Dowell | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Em Residency/fellowship, 1250 E. Marshall Street, Richmond, VA 23298 | 2020-06-05 |
| 1215551262 | Anna Leigh Cline | Student in an Organized Health Care Education/Training Program | Vcuhs Department of Emergency Medicine, 980401, 1250 E Marshall Street, Richmond, VA 23298 | 2020-06-05 |
| 1598389629 | Annabel Eujung Baek | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Plastic Surgery Residency, 980154, 1250 E. Marshall Street, Richmond, VA 23298 | 2020-06-04 |
| 1235752957 | Valerie Tammy Tran | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency, 980509, 1250 E Marshall St, Richmond, VA 23298 | 2020-05-28 |
| 1386267193 | Michael Terribile | Student in an Organized Health Care Education/Training Program | Vcuhs Department of Pediatrics Residency, 980163, Richmond, VA 23298 | 2020-05-27 |
| 1417585449 | Ryan Louis Naum | Student in an Organized Health Care Education/Training Program | Vcuhs Dept. of Neurology Residency, #980599, 1250 E. Marshall Street, Richmond, VA 23298 | 2020-03-27 |
| 1477102531 | Shanon Fitzpatrick Beam | Nurse Practitioner | Vcu Medical Center, 1250 East Marshall Street, Richmond, VA 23298 | 2019-09-10 |
| 1922666924 | Sumerth Kumar Pathak | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Psychiatry, 980710, 1250 E. Marshall Street, Richmond, VA 23298 | 2019-06-04 |
| 1467010595 | Christopher Bednarz | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Surgery Residency, 980118, 1250 E. Marshall Street, Richmond, VA 23298 | 2019-06-04 |
| 1629636782 | Nicholet Mitchell | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Em Residency/fellowship, 980401, 1250 E. Marshall Street, Richmond, VA 23298 | 2019-06-04 |
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| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720438245 | Maged D. Fam | Neurological Surgery | Vcuhs Dept of Anesthesiology Residency, 980459, 1250 E. Marshall Street, Richmond, VA 23298-0459 | 2016-06-15 |
| 1063854651 | Guanxiong Mao | Neurological Surgery | 212 Tanglewood Dr, Richmond, CA 94806-5814 | 2013-07-23 |
| 1720172315 | Neurosurgical Associates PC | Neurological Surgery | 1651 N Parham Road, Richmond, VA 23229 | 2006-10-03 |
| 1437170651 | Roger William Shortz | Neurological Surgery | 3065 Richmond Pkwy, Suite 102, Richmond, CA 94806-5719 | 2006-07-22 |
| 1073583050 | Kanwalcharan Singh Sahni | Neurological Surgery | 10710 Midlothian Tpke, Suite 138, Richmond, VA 23235-4722 | 2006-01-24 |
| 1710974563 | Katrina G. Murphy | Neurological Surgery | 1651 N Parham Rd, Richmond, VA 23229-4605 | 2005-10-05 |
| 1235564071 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Neurological Surgery | 5855 Bremo Rd, Suite 406, Richmond, VA 23226-1930 | 2013-09-12 |
| 1841639101 | Steven M Wakeman | Neurological Surgery | 1250 E Marshall St, Ns; Neurosurgery Pob 980631, Richmond, VA 23298-0631 | 2013-06-20 |
| 1518252196 | Vishal C Patel | Neurological Surgery | 1250 E Marshall St, Box 980631, Richmond, VA 23298-5051 | 2011-06-13 |
| 1699094375 | Paul Frederick Koch | Neurological Surgery | 417 N 11th St, Richmond, VA 23298 | 2010-05-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.