PHILIP GEORGE BROECKEL JR. MD
NPI 1629146600
Emergency Medicine - Emergency Medical Services in La Jolla, CA

Q: What is Philip Broeckel's NPI number?

The NPI number for Philip Broeckel is 1629146600. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Q: What is Philip Broeckel's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Q: When was this NPI record last updated?

The NPPES record for Philip Broeckel was last updated on October 19, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 30, 2006PECOS Enrolled

9888 GENESEE AVE, LA JOLLA, CA 92037(858) 626-6151 Get Directions Write a Review

NPPES record last updated: October 19, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Philip George Broeckel Jr. Md NPPES

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

PHILIP GEORGE BROECKEL JR. MD (NPI 1629146600) is an individual emergency medical services provider in La Jolla, California, licensed in California (G37332) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629146600

Entity TypeIndividualMale

Primary Taxonomy207PE0004X

Provider Legal NamePHILIP GEORGE BROECKEL JR.Credential: MD

Location Address9888 GENESEE AVELa Jolla, CA 92037-1205

Mailing Address3198 Avenida HaciendaEscondido, CA 92029-7925 · (760) 715-5572

Phone(858) 626-6151

Sole ProprietorYes

Enumeration DateNovember 30, 2006

Last NPPES UpdateOctober 19, 2010

✔ NPI 1629146600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians

Taxonomy Code207PE0004X

License✔ Licensed in CA · G37332

Definition

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

9888 GENESEE AVE, La Jolla, CA 92037

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Other Identifiers 2

Medicare UPINA47044CA

OtherMEDICAL LICENSECA · G37332

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Philip George Broeckel Jr. Md 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.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit, 30-44 minutes 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

73 services73 patients

Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005

An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.

68 services68 patients

Established patient office or other outpatient visit, 20-29 minutes 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

53 services53 patients

Established patient office or other outpatient visit, 30-39 minutes 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

49 services49 patients

Injection, ceftriaxone sodium, per 250 mg J0696

Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.

44 services11 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

42 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92037 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

Most-billed visit code 99214

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 20

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

GREGORY DANIEL MEDLEY PHARM. D.

Pharmacist

9888 GENESEE AVE, LJ-18
LA JOLLA, CA 92037

San Diego County (858) 626-6081

MR. DAVID W HODGENS M.D.

Radiology (Radiation Oncology)

9888 GENESEE AVE, DEPARTMENT OF RADIATION ONCOLOGY
LA JOLLA, CA 92037

San Diego County (858) 626-6864

DR. JEAN M MEFFERD M.D.

Radiology (Radiation Oncology)

9888 GENESEE AVE, DEPARTMENT OF RADIATION ONCOLOGY
LA JOLLA, CA 92037

San Diego County (858) 626-6864

DR. SEAN AARON DEITCH M.D.

Emergency Medicine