SAMUEL B BROADDUS MD
NPI 1326094335
Urology in Brunswick, ME

Q: What is Samuel Broaddus's NPI number?

The NPI number for Samuel Broaddus is 1326094335. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Q: What is Samuel Broaddus's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Broaddus was last updated on January 21, 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 25, 2006

81 MEDICAL CENTER DR, SUITE 2350, BRUNSWICK, ME 04011(207) 373-6690(207) 373-6695 Get Directions Write a Review

NPPES record last updated: January 21, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Samuel B Broaddus Md NPPES

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

SAMUEL B BROADDUS MD (NPI 1326094335) is an individual urology provider in Brunswick, Maine, licensed in Maine (MD11648) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1326094335

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameSAMUEL B BROADDUSCredential: MD

Location Address81 MEDICAL CENTER DR, SUITE 2350Brunswick, ME 04011-2764

Mailing Address81 Medical Center Dr, Suite 2350Brunswick, ME 04011-2764 · (207) 373-6690 · Fax (207) 373-6695

Phone(207) 373-6690

Fax(207) 373-6695

Sole ProprietorNo

Enumeration DateMay 25, 2006

Last NPPES UpdateJanuary 21, 2015

✔ NPI 1326094335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in ME · MD11648

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

81 MEDICAL CENTER DR, Brunswick, ME 04011

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Other Identifiers 7

Medicare UPINB85658

Medicare PINGX4844

Medicaid30007671NH

Medicare PINP00687956ME

Medicaid263730099ME

Medicare PIN01555201ME

Medicare PIN01555202ME

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. CHAD WOTKOWICZ M.D.

Urology

81 MEDICAL CENTER DR
BRUNSWICK, ME 04011

Cumberland County (207) 373-6690

FRANCINE DALFONSO FNP

Nurse Practitioner (Family)

81 MEDICAL CENTER DR, 2350
BRUNSWICK, ME 04011

Cumberland County (207) 373-6690

GEORGE RICHARD POLKINGHORN MD

Internal Medicine (Medical Oncology)

81 MEDICAL CENTER DR, SUITE 1300
BRUNSWICK, ME 04011

Cumberland County (207) 729-1148

KELSEY O'CONNELL MS, FNP-BC

Nurse Practitioner (Family)

81 MEDICAL CENTER DR
BRUNSWICK, ME 04011

Cumberland County (207) 721-8333

WILLIAM P STAMEY MD

Psychiatry & Neurology (Neurology)

81 MEDICAL CENTER DR, SUITE 2400
BRUNSWICK, ME 04011

Cumberland County (207) 373-6099

ULA D LEWANDOWSKI D.O.

Pediatrics

81 MEDICAL CENTER DR
BRUNSWICK, ME 04011

Cumberland County (207) 373-6844

DR. BRIAN DAVID MACDONALD DPM

Podiatrist (Foot & Ankle Surgery)

81 MEDICAL CENTER DR, SUITE 2100
BRUNSWICK, ME 04011

Cumberland County (207) 725-4008

DAVID B ROBINSON MD

Psychiatry & Neurology (Neurology)

81 MEDICAL CENTER DR, SUITE 2400
BRUNSWICK, ME 04011

Cumberland County (207) 373-6099

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 Samuel Broaddus's NPI number?

The NPI number for Samuel Broaddus is 1326094335. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Samuel Broaddus located?

Samuel Broaddus practices at 81 Medical Center Dr Suite 2350, Brunswick, ME 04011. The listed phone number is (207) 373-6690.

What is Samuel Broaddus's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Samuel Broaddus was last updated on January 21, 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.