JEFFREY N BRODER MD PC
NPI 1679567259
Nurse Practitioner - Family in North Augusta, SC

Active since September 09, 2005
1201 WEST AVE, NORTH AUGUSTA, SC 29841(803) 279-1030(803) 278-1344 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Jeffrey N Broder Md Pc NPPES

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

JEFFREY N BRODER MD PC (NPI 1679567259), doing business as North Agusta Urgent Care Family & Occupational Medicine, is a healthcare organization registered as a family in North Augusta, South Carolina and active in the NPI registry since September 2005. The organization lists Jeffrey N Broder, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1679567259
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameJEFFREY N BRODER MD PC
Location Address1201 WEST AVENorth Augusta, SC 29841-3350
Mailing Address1201 West AveNorth Augusta, SC 29841-3350 · (803) 279-1030 · Fax (803) 278-1344
Fax(803) 278-1344
Organization SubpartNo
Authorized OfficialJeffrey N BroderMedical Director · (803) 279-1030
Enumeration DateSeptember 9, 2005
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPI 1679567259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in SC · APN459
Also ListedGeneral PracticeTaxonomy 208D00000X · License 15157 (SC)
1201 WEST AVE, North Augusta, SC 29841

Other Names 1

Doing Business AsNorth Agusta Urgent Care Family & Occupational Medicine

Other Identifiers 1

MedicaidGP2905SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

Family Medicine
1201 WEST AVE
NORTH AUGUSTA, SC 29841
General Practice
1201 WEST AVE
NORTH AUGUSTA, SC 29841
Pharmacy (Home Infusion Therapy Pharmacy)
1201 WEST AVE
NORTH AUGUSTA, SC 29841
Family Medicine
1201 WEST AVE
NORTH AUGUSTA, SC 29841

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 Jeffrey N Broder MD PC's NPI number?

The NPI number for Jeffrey N Broder MD PC is 1679567259. It was assigned to this organization in the NPPES registry on September 9, 2005. The provider is doing business as North Agusta Urgent Care Family & Occupational Medicine.

Where is Jeffrey N Broder MD PC located?

Jeffrey N Broder MD PC is located at 1201 West Ave, North Augusta, SC 29841. The listed phone number is (803) 279-1030.

What is Jeffrey N Broder MD PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jeffrey N Broder MD PC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.