V COURTNEY BROADDUS MD
NPI 1740296904
Internal Medicine in San Francisco, CA
About V Courtney Broaddus Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
V COURTNEY BROADDUS MD (NPI 1740296904) is an individual internal medicine provider in San Francisco, California, licensed in California (G49349) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
V Courtney Broaddus Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show V Courtney Broaddus reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Francisco, CA 94110
- Reassigned Medicare billing, California enrollment
- Also billed through NPI 1073836060 (California)
- 842 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
SAN FRANCISCO, CA 94110
SAN FRANCISCO, CA 94110
SAN FRANCISCO, CA 94110
SAN FRANCISCO, CA 94110
SAN FRANCISCO, CA 94110
SAN FRANCISCO, CA 94110
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 V Courtney Broaddus's NPI number?
The NPI number for V Courtney Broaddus is 1740296904. It was assigned to this individual provider in the NPPES registry on July 31, 2006.
Where is V Courtney Broaddus located?
V Courtney Broaddus practices at 1001 Potrero Avenue Rm 5k1, San Francisco, CA 94110. The listed phone number is (415) 206-8314.
What is V Courtney Broaddus's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is V Courtney Broaddus enrolled in Medicare?
Yes. V Courtney Broaddus is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for V Courtney Broaddus's services?
According to the CMS Revalidation Reassignment List (October 2026 release), V Courtney Broaddus reassigns Medicare benefits to University Of California Sfgh Medical Group (San Francisco, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for V Courtney Broaddus's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for V Courtney Broaddus 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 13 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.
# V Courtney Broaddus, MD · NPI 1740296904
Internal Medicine physician in San Francisco, California. Individual provider, active in the CMS NPPES registry since July 31, 2006.
## Identity
- **NPI:** 1740296904 (Entity type: Individual)
- **Enumerated:** July 31, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** G49349 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1001 POTRERO AVENUE, RM 5K1, San Francisco, CA 94110-3518
- **Phone:** (415) 206-8314 · **Fax:** (415) 695-1551
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Of California Sfgh Medical Group (NPI 1174598296, San Francisco, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 11, 2025
- **Other identifiers:** Medicaid OOG493790 (CA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1740296904) · Data from the CMS NPPES public registry.