Michael W Broadbent (NPI# 1205049459, PAC ID# 9234294521) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORAL SURGERY.
| Nation Provider ID (NPI) | 1205049459 |
| PAC ID by PECOS | 9234294521 |
| Professional Enrollment ID | I20090220000323 |
| Full Name | Michael W Broadbent |
| Organization Legal Name | ORAL AND MAXILLOFACIAL SURGEONS OF UTAH, LLC |
| Address |
2297 N Hillfield Rd Bldg A Suite 105 Layton UT 84041-6928 |
| Phone Number | 8017790506 |
| Gender | M |
| Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | ORAL SURGERY |
| Secondary Specialties | MAXILLOFACIAL SURGERY |
| Group Practice PAC ID | 2264597541 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2297 N Hillfield Rd, Bldg A Suite 105, Layton, UT 84041-6928 | 8017790506 | ORAL AND MAXILLOFACIAL SURGEONS OF UTAH, LLC |
| Organization Legal Name | ORAL AND MAXILLOFACIAL SURGEONS OF UTAH, LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason G Chandler | Oral Surgery | Oral and Maxillofacial Surgeons of Utah, LLC | 469 E Medical Dr, Suite 202, Bountiful, UT 84010-8921 |
| Vance Patrick Hall | Maxillofacial Surgery | Oral and Maxillofacial Surgeons of Utah, LLC | 2297 N Hillfield Rd, Bldg A Suite 105, Layton, UT 84041-6928 |
| Todd C Liston | Oral Surgery | Oral and Maxillofacial Surgeons of Utah, LLC | 2297 N Hillfield Rd, Bldg A Suite 105, Layton, UT 84041-6928 |
| Street Address |
2297 N HILLFIELD RD BLDG A SUITE 105 |
| City | LAYTON |
| State | UT |
| Zip | 84041-6928 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vance Patrick Hall | Maxillofacial Surgery | Oral and Maxillofacial Surgeons of Utah, LLC | 2297 N Hillfield Rd, Bldg A Suite 105, Layton, UT 84041-6928 |
| Todd C Liston | Oral Surgery | Oral and Maxillofacial Surgeons of Utah, LLC | 2297 N Hillfield Rd, Bldg A Suite 105, Layton, UT 84041-6928 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian H Morgan | Physical Medicine and Rehabilitation | Alpine Spine Sports and Rehabilitation LLC | 1916 N 700 W, Suite 250, Layton, UT 84041 |
| Douglas T Shepherd | Physical Medicine and Rehabilitation | Alpine Spine Sports and Rehabilitation LLC | 1916 N 700 W, Suite 250, Layton, UT 84041 |
| Scott K Thompson | Plastic and Reconstructive Surgery | Utah Plastic Surgery LLC | 2255 N 1700, Suite 205, Layton, UT 84041-1119 |
| Douglas Kimball Henstrom | Plastic and Reconstructive Surgery | Utah Plastic Surgery LLC | 2255 N 1700, Suite 205, Layton, UT 84041-1119 |
| Casey J Thomas | General Surgery | Salt Lake Surgical Services Pllc | 1492 W Antelope Dr, Suite 209, Layton, UT 84041-1139 |
| Wade B Larsen | General Surgery | Salt Lake Surgical Services Pllc | 1492 W Antelope Dr, Suite 209, Layton, UT 84041-1139 |
| Rod Thornley | Clinical Social Worker | Davis Behavioral Health Inc | 2250 N 1700, Layton, UT 84041-1140 |
| Michael Washburn | Ophthalmology | Michael D Washburn, M.d. | 2255 N 1700 W, 100 Insight Laser and Cataract Eye Specialists, Layton, UT 84041-1140 |
| Heather L Bernard | Nurse Practitioner | Davis Behavioral Health Inc | 2250 N 1700, Layton, UT 84041-1140 |
| Callie A Murray | Clinical Social Worker | Davis Behavioral Health Inc | 2250 N 1700, Layton, UT 84041-1140 |
| Find all physicians in zip 84041 | |||
| City | LAYTON |
| Zip Code | 84041 |
| Specialty | ORAL SURGERY |
| City + Specialty | LAYTON + ORAL SURGERY |
Please comment or provide details below to improve the information on Michael W Broadbent.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.