BROADLAWNS MEDICAL CENTER
NPI 1669693917
Podiatrist - Foot & Ankle Surgery in Des Moines, IA

Active since May 02, 2007
1801 HICKMAN ROAD, DES MOINES, IA 50314(515) 282-2200 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Broadlawns Medical Center NPPES

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

BROADLAWNS MEDICAL CENTER (NPI 1669693917) is a healthcare organization registered as a foot & ankle surgery in Des Moines, Iowa and active in the NPI registry since May 2007. The organization lists Vincent J Mandracchia, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1669693917
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameBROADLAWNS MEDICAL CENTER
Location Address1801 HICKMAN ROADDes Moines, IA 50314-1548
Mailing Address1801 Hickman RoadDes Moines, IA 50314-1548 · (515) 282-2200
Organization SubpartNo
Authorized OfficialVincent J MandracchiaChief Medical Officer · (515) 282-2562
Enumeration DateMay 2, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1669693917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in IA · 000581
1801 HICKMAN ROAD, Des Moines, IA 50314

Other Identifiers 6

Other20023IA · Tricare
OtherA5031401IA · John Deere, Uhc River Val
Other29705IA · Coventry
Other2601013IA · Iowa Care
Medicaid0432567IA
Other6230290IA · Aetna

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 17

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

Obstetrics & Gynecology
1801 HICKMAN ROAD, BROADLAWNS MEDICAL CENTER
DES MOINES, IA 50314
Podiatrist
1801 HICKMAN ROAD, BROADLAWNS MEDICAL CENTER
DES MOINES, IA 50314
Psychiatric Unit
1801 HICKMAN ROAD
DES MOINES, IA 50314
Anesthesiology
1801 HICKMAN ROAD
DES MOINES, IA 50314
Social Worker
1801 HICKMAN ROAD, BROADLAWNS MEDICAL CENTER
DES MOINES, IA 50314
Family Medicine
1801 HICKMAN ROAD
DES MOINES, IA 50314
Family Medicine
1801 HICKMAN ROAD
DES MOINES, IA 50314
Family Medicine
1801 HICKMAN ROAD
DES MOINES, IA 50314

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669693917, enumerated as an "organization" on May 02, 2007.

The provider is located at 1801 HICKMAN ROAD DES MOINES, IA 50314 and the phone number is (515) 282-2200.

Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.

The provider might be accepting Accepts: Tricare, Medicare, Medicaid and Aetna. Please consult your insurance carrier or call the provider to verify.