KATHLEEN L.S. BROADMAN MD
NPI 1801909791
Pediatrics in Bend, OR
About Kathleen L.s. Broadman Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHLEEN L.S. BROADMAN MD (NPI 1801909791) is an individual pediatrics provider in Bend, Oregon, licensed in Oregon (MD151194) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Bend.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kathleen L.s. Broadman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Kathleen Broadman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bend, OR 97701
- Reassigned Medicare billing, Oregon enrollment
- 307 clinicians in this Medicare group
Bend, OR 97701
- Reassigned Medicare billing, Oregon enrollment
- 317 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Kathleen Broadman's NPI number?
The NPI number for Kathleen Broadman is 1801909791. It was assigned to this individual provider in the NPPES registry on August 16, 2006.
Where is Kathleen Broadman located?
Kathleen Broadman practices at 2500 NE Neff Rd, Bend, OR 97701. The listed phone number is (541) 706-6892.
What is Kathleen Broadman's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Kathleen Broadman enrolled in Medicare?
Yes. Kathleen Broadman is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kathleen Broadman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Broadman reassigns Medicare benefits to 2 organizations: St. Charles Health System, Inc. (Bend, OR) and Bend Memorial Clinic PC (Bend, OR). Each 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 Kathleen Broadman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kathleen Broadman accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Kathleen Broadman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kathleen Broadman was last updated on January 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Kathleen L.s. Broadman, MD · NPI 1801909791
Pediatrics physician in Bend, Oregon. Individual provider, active in the CMS NPPES registry since August 16, 2006.
## Identity
- **NPI:** 1801909791 (Entity type: Individual)
- **Enumerated:** August 16, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** MD151194 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 2500 NE NEFF RD, Bend, OR 97701-6015
- **Phone:** (541) 706-6892 · **Fax:** (541) 706-6869
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): St. Charles Health System, Inc. (NPI 1154343150, Bend, OR); Bend Memorial Clinic PC (NPI 1699827477, Bend, OR) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 2, 2024
- **Other identifiers:** Medicaid 500622958 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1801909791) · Data from the CMS NPPES public registry.