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JACQUELINE GUARINO BRODA PA-C
NPI 1114342722
Physician Assistant - Surgical in Houston, TX

Active since February 19, 2014PECOS Enrolled
6621 FANNIN ST, MC 1-1410, HOUSTON, TX 77030(713) 240-7259 Get Directions Write a Review

NPPES record last updated: January 24, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jacqueline Guarino Broda Pa-c NPPES

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

JACQUELINE GUARINO BRODA PA-C (NPI 1114342722) is an individual surgical provider in Houston, Texas and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114342722
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameJACQUELINE GUARINO BRODACredential: PA-C
Location Address6621 FANNIN ST, MC 1-1410Houston, TX 77030-2303
Mailing Address6621 Fannin St, Mc 1-1410Houston, TX 77030-2303 · (713) 240-7259
Phone(713) 240-7259
Sole ProprietorNo
Enumeration DateFebruary 19, 2014
Last NPPES UpdateJanuary 24, 2017
✔ NPI 1114342722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
6621 FANNIN ST, Houston, TX 77030
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Guarino Broda Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

DR. TAKETO BABA M.D.
Pediatrics (Pediatric Emergency Medicine)
6621 FANNIN ST
HOUSTON, TX 77030
Harris County (832) 824-1000
ZACHARY FOUGHTY
Pediatrics (Pediatric Emergency Medicine)
6621 FANNIN ST
HOUSTON, TX 77030
Harris County (832) 824-1173
ASHIRA MORGAN KLEIN MD
Pediatrics (Pediatric Emergency Medicine)
6621 FANNIN ST
HOUSTON, TX 77030
Harris County (832) 824-1000
CINDY ANN MILLER PT
Physical Therapist
6621 FANNIN ST
HOUSTON, TX 77030
Harris County (832) 826-1000
JENNA AUSTIN DAVIS PA-C
Physician Assistant
6621 FANNIN ST
HOUSTON, TX 77030
Harris County (804) 955-7043
RONALD EASLEY M.D.
Anesthesiology
6621 FANNIN ST
HOUSTON, TX 77030
Harris County (832) 824-1000
DENNIS BIER MD
Pediatrics (Pediatric Endocrinology)
6621 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 798-7022
DR. DONALD WILLIAMS PARSONS M.D., PH.D.
Pediatrics (Pediatric Hematology-Oncology)
6621 FANNIN ST, MC 3-3320
HOUSTON, TX 77030
Harris County (832) 822-4556

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 Jacqueline Broda's NPI number?

The NPI number for Jacqueline Broda is 1114342722. It was assigned to this individual provider in the NPPES registry on February 19, 2014.

Where is Jacqueline Broda located?

Jacqueline Broda practices at 6621 Fannin St Mc 1-1410, Houston, TX 77030. The listed phone number is (713) 240-7259.

What is Jacqueline Broda's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Jacqueline Broda enrolled in Medicare?

Yes. Jacqueline Broda is registered in the Medicare PECOS enrollment system.

What insurance does Jacqueline Broda accept?

Health plans from Moda Health Plan, Inc. list Jacqueline Broda as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacqueline Broda was last updated on January 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.