National Provider Identifier Database

BRIAN G BROADHEAD, DPM – NPI #1275573081
Podiatrist

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.


Contact Information

BRIAN G BROADHEAD, DPM
111 FLORISSANT OAKS SHOP CTR
FLORISSANT, MO63031-3933
Phone: 314-837-8477
Fax: 314-837-0611
Website:
Specialty Taxonomy Code
* Podiatrist 213E00000X

* Indicates primary specialty

NPI Profile & details for BRIAN G BROADHEAD

NPI Number 1275573081
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/08/2006
Last updated 07/29/2010 - About 16 years ago
Sole proprietor1 No
Identifiers
  • MO License #: 2001014944
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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