DR. MICHAEL WILLIAM BROADBENT DMD, M.S.
NPI 1205049459
Dentist - Oral and Maxillofacial Surgery in Ogden, UT

Q: What is Michael Broadbent's NPI number?

The NPI number for Michael Broadbent is 1205049459. It was assigned to this individual provider in the NPPES registry on May 7, 2007.

Q: What is Michael Broadbent's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: Is Michael Broadbent enrolled in Medicare?

No. Michael Broadbent has opted out of Medicare through May 2, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Michael Broadbent was last updated on April 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since May 07, 2007Opted out of Medicare · through May 2, 2028

3590 HARRISON BLVD, SUITE #2, OGDEN, UT 84403(801) 392-7176 Get Directions Write a Review

NPPES record last updated: April 27, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Michael William Broadbent Dmd, M.s. NPPES

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

DR. MICHAEL WILLIAM BROADBENT DMD, M.S. (NPI 1205049459) is an individual oral and maxillofacial surgery provider in Ogden, Utah, licensed in Utah (6511661-9924) and active in the NPI registry since May 2007. He has opted out of Medicare through May 2, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1205049459

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. MICHAEL WILLIAM BROADBENTCredential: DMD, M.S.

Location Address3590 HARRISON BLVD, SUITE #2Ogden, UT 84403-2060

Mailing Address3590 Harrison Blvd, Suite #2Ogden, UT 84403-2060 · (801) 392-7176

Phone(801) 392-7176

Sole ProprietorNo

Enumeration DateMay 7, 2007

Last NPPES UpdateApril 27, 2015

✔ NPI 1205049459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in UT · 6511661-9924

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

3590 HARRISON BLVD, Ogden, UT 84403

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Michael William Broadbent Dmd, M.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 2, 2022 through May 2, 2028.

Opt-Out Effective DateMay 2, 2022

Opt-Out In Effect ThroughMay 2, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

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

DR. CHANTEL B MURRAH DPM PHD

Podiatrist

3590 HARRISON BLVD, # G1
OGDEN, UT 84403

Weber County (801) 627-2122

LORELL B FAWSON DPM

Podiatrist

3590 HARRISON BLVD, G1
OGDEN, UT 84403

Weber County (801) 627-2122

LLOYD V. TILT, DDS,MS,PC

Clinic/Center (Dental)

3590 HARRISON BLVD, STE 3
OGDEN, UT 84403

Weber County (801) 394-6651

CHANTEL B. MURRAH, DPM. PHD

Podiatrist

3590 HARRISON BLVD, #G1
OGDEN, UT 84403

Weber County (801) 627-2122

DR. JEFFREY P BROADBENT DMD

Dentist

3590 HARRISON BLVD, SUITE 5
OGDEN, UT 84403

Weber County (801) 621-1440

JOHN ROBERT STARLEY D.D.S.

Dentist (General Practice)

3590 HARRISON BLVD, #6
OGDEN, UT 84403

Weber County (801) 621-3553

DR. STEVEN JONES WIDEMAN DPM

Podiatrist

3590 HARRISON BLVD, #G-1
OGDEN, UT 84403

Weber County (801) 627-2122

DR LORELL FAWSON DPM

Podiatrist (Foot Surgery)

3590 HARRISON BLVD, SUITE G1
OGDEN, UT 84403

Weber County (801) 627-2122

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 Michael Broadbent's NPI number?

The NPI number for Michael Broadbent is 1205049459. It was assigned to this individual provider in the NPPES registry on May 7, 2007.

Where is Michael Broadbent located?

Michael Broadbent practices at 3590 Harrison Blvd Suite #2, Ogden, UT 84403. The listed phone number is (801) 392-7176.

What is Michael Broadbent's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Michael Broadbent enrolled in Medicare?

No. Michael Broadbent has opted out of Medicare through May 2, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Michael Broadbent accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 13 other insurers list Michael Broadbent 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 Michael Broadbent was last updated on April 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.