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ANDREW LARENCE BRODA
NPI 1306541115
Student in an Organized Health Care Education/Training Program in Annapolis, MD

Active since April 03, 2023PECOS Enrolled
2001 MEDICAL PKWY, ANNAPOLIS, MD 21401(443) 481-4142(443) 924-2727 Get Directions Write a Review

NPPES record last updated: April 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andrew Larence Broda NPPES

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

ANDREW LARENCE BRODA (NPI 1306541115) is an individual student in an organized health care education/training program in Annapolis, Maryland and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306541115
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameANDREW LARENCE BRODA
Location Address2001 MEDICAL PKWYAnnapolis, MD 21401-3773
Mailing Address2001 Medical PkwyAnnapolis, MD 21401-3773 · (443) 481-4142 · Fax (443) 924-2727
Phone(443) 481-4142
Fax(443) 924-2727
Sole ProprietorNo
Enumeration DateApril 3, 2023
NPPES CertifiedApril 1, 2023
✔ NPI 1306541115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2001 MEDICAL PKWY, Annapolis, MD 21401
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew Larence Broda 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.

GASHAW ADUGNA M.D
Internal Medicine
2001 MEDICAL PKWY
ANNAPOLIS, MD 21401
Anne Arundel County (240) 495-4189
DR. VANESSA MONSALVE-GOMEZ MD
Student in an Organized Health Care Education/Training Program
2001 MEDICAL PKWY
ANNAPOLIS, MD 21401
Anne Arundel County (443) 481-5543
MS. STEPHANIE ZWONITZER CRNP
Nurse Practitioner
2001 MEDICAL PKWY
ANNAPOLIS, MD 21401
Anne Arundel County (443) 481-1750
HEATHER ZACK
General Acute Care Hospital
2001 MEDICAL PKWY
ANNAPOLIS, MD 21401
Anne Arundel County (443) 927-6383
SARAH LYNN HERN LCSW-C
Counselor (Mental Health)
2001 MEDICAL PKWY
ANNAPOLIS, MD 21401
Anne Arundel County (443) 481-1272
RIYO RAJAN PHARMD
Pharmacist (Oncology)
2001 MEDICAL PKWY
ANNAPOLIS, MD 21401
Anne Arundel County (443) 481-4157
DIMENSIONS HEALTHCARE ASSOCIATES INC
Obstetrics & Gynecology
2001 MEDICAL PKWY
ANNAPOLIS, MD 21401
Anne Arundel County (443) 481-1000
ERIC HADHAZY
Student in an Organized Health Care Education/Training Program
2001 MEDICAL PKWY
ANNAPOLIS, MD 21401
Anne Arundel County (443) 481-4142

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 Andrew Broda's NPI number?

The NPI number for Andrew Broda is 1306541115. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Where is Andrew Broda located?

Andrew Broda practices at 2001 Medical Pkwy, Annapolis, MD 21401. The listed phone number is (443) 481-4142.

What is Andrew Broda's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Andrew Broda enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Andrew Broda was last updated on April 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.