NICOLE M BRODEN MD
NPI 1891352928
Surgery in Roanoke, VA

Q: What is Nicole Broden's NPI number?

The NPI number for Nicole Broden is 1891352928. It was assigned to this individual provider in the NPPES registry on May 23, 2019.

Q: What is Nicole Broden's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Broden was last updated on June 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 23, 2019PECOS EnrolledAccepts Medicare Assignment

3 RIVERSIDE CIR, ROANOKE, VA 24016(540) 224-5170 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 26, 2025, Jun 5, 2025, May 23, 2019 (3 updates tracked since 2019).

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About Nicole M Broden Md NPPES

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

NICOLE M BRODEN MD (NPI 1891352928) is an individual surgery provider in Roanoke, Virginia, licensed in Virginia (0101284289) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, is affiliated with Carilion Medical Center, and maintains a secondary practice location in Phoenix.

NPPES Registry Identity

NPI1891352928

Entity TypeIndividualFemale

Primary Taxonomy208600000X

Provider Legal NameNICOLE M BRODENCredential: MD

Location Address3 RIVERSIDE CIRRoanoke, VA 24016-4955

Mailing Address1441 N 12th St Fl 1Phoenix, AZ 85006-2837 · (602) 521-5981 · Fax (602) 521-5981

Phone(540) 224-5170

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMay 23, 2019

Last NPPES UpdateJune 26, 20253 updates tracked since enumeration

NPPES CertifiedJune 26, 2025

✔ NPI 1891352928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in VA · 0101284289✔ Licensed in VA · 101284289

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3 RIVERSIDE CIR, Roanoke, VA 24016

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Secondary Practice Location 1

Location 11441 N 12th St Fl 1Phoenix, AZ 85006-2837 · Phone (602) 521-5981 · Fax (602) 521-5981

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole M Broden Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608100326

PECOS Enrollment IDI20250819004774

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carilion Medical Center

Acute Care Hospitals · Roanoke, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490024

Location1906 Belleview Avenue, SERoanoke, VA 24014 · Roanoke City County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

DR. JED DAVID GONZALO M.D.

Internal Medicine