BROAD HEALTH OF NC PC
NPI 1043955396
Family Medicine - Adult Medicine in Raleigh, NC

Q: What is Broad Health Of Nc PC's NPI number?

The NPI number for Broad Health Of Nc PC is 1043955396. It was assigned to this organization in the NPPES registry on May 2, 2022.

Q: What is Broad Health Of Nc PC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Active since May 02, 2022

2626 GLENWOOD AVE STE 550, RALEIGH, NC 27608(706) 455-2406 Get Directions Write a Review

NPPES record last updated: May 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Broad Health Of Nc Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROAD HEALTH OF NC PC (NPI 1043955396) is a healthcare organization registered as an adult medicine in Raleigh, North Carolina and active in the NPI registry since May 2022. The organization lists Mildred Santorufo, Owner, as its authorized official.

NPPES Registry Identity

NPI1043955396

Entity TypeOrganization

Primary Taxonomy207QA0505X

Legal Business NameBROAD HEALTH OF NC PC

Location Address2626 GLENWOOD AVE STE 550Raleigh, NC 27608-1370

Mailing Address154 W 16th St # 6-110New York, NY 10011-6201 · (617) 513-4838

Phone(706) 455-2406

Organization SubpartNo

Authorized OfficialMildred SantorufoOwner · (706) 455-2406

Enumeration DateMay 2, 2022

NPPES CertifiedMay 2, 2022

✔ NPI 1043955396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0505X

Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

2626 GLENWOOD AVE STE 550, Raleigh, NC 27608

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

QUALITY SURGICAL MANAGEMENT PA

Surgery

2626 GLENWOOD AVE STE 550
RALEIGH, NC 27608

Wake County (800) 226-8874

REM NORTH CAROLINA LLC

Community/Behavioral Health

2626 GLENWOOD AVE STE 550
RALEIGH, NC 27608

Wake County (800) 388-5150

MEDITELECARE OF NORTH CAROLINA PLLC

Psychologist (Clinical)

2626 GLENWOOD AVE STE 550
RALEIGH, NC 27608

Wake County (860) 788-6404

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Broad Health Of Nc PC's NPI number?

The NPI number for Broad Health Of Nc PC is 1043955396. It was assigned to this organization in the NPPES registry on May 2, 2022.

Where is Broad Health Of Nc PC located?

Broad Health Of Nc PC is located at 2626 Glenwood Ave Ste 550, Raleigh, NC 27608. The listed phone number is (706) 455-2406.

What is Broad Health Of Nc PC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for Broad Health Of Nc PC was last updated on May 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.