SAMUEL BROADEN
NPI 1790130953
Driver in Bingham Farms, MI

Active since April 25, 2016
30200 TELEGRAPH RD, 404, BINGHAM FARMS, MI 48025(810) 356-7433 Get Directions Write a Review

NPPES record last updated: April 25, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Samuel Broaden NPPES

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

SAMUEL BROADEN (NPI 1790130953) is an individual driver provider in Bingham Farms, Michigan, licensed in Michigan (E8077F) and active in the NPI registry since April 2016.

NPPES Registry Identity

NPI1790130953
Entity TypeIndividualMale
Primary Taxonomy172A00000X
Provider Legal NameSAMUEL BROADEN
Location Address30200 TELEGRAPH RD, 404Bingham Farms, MI 48025-4502
Mailing AddressPo Box 250463West Bloomfield, MI 48325-0463 · (248) 325-8122
Sole ProprietorNo
Enumeration DateApril 25, 2016
NPI 1790130953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDriverOther Service Providers
Taxonomy Code172A00000X
License Licensed in MI · E8077F
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
30200 TELEGRAPH RD, Bingham Farms, MI 48025

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.

Psychologist (Clinical)
30200 TELEGRAPH RD, SUITE 402
BINGHAM FARMS, MI 48025
Social Worker (Clinical)
30200 TELEGRAPH RD, SUITE207
BINGHAM FARMS, MI 48025
Anesthesiology
30200 TELEGRAPH RD, SUITE 220
BINGHAM FARMS, MI 48025
Psychologist
30200 TELEGRAPH RD, SUITE 402
BINGHAM FARMS, MI 48025
Anesthesiology
30200 TELEGRAPH RD, SUITE 220
BINGHAM FARMS, MI 48025
Nurse Anesthetist, Certified Registered
30200 TELEGRAPH RD, SUITE 220
BINGHAM FARMS, MI 48025
Nurse Anesthetist, Certified Registered
30200 TELEGRAPH RD, SUITE 220
BINGHAM FARMS, MI 48025
Anesthesiology
30200 TELEGRAPH RD, SUITE 220
BINGHAM FARMS, MI 48025

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 Broaden's NPI number?

The NPI number for Samuel Broaden is 1790130953. It was assigned to this individual provider in the NPPES registry on April 25, 2016.

Where is Samuel Broaden located?

Samuel Broaden practices at 30200 Telegraph Rd 404, Bingham Farms, MI 48025. The listed phone number is (810) 356-7433.

What is Samuel Broaden's specialty?

The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.

When was this NPI record last updated?

The NPPES record for Samuel Broaden was last updated on April 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.