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NICOLE M BRODEN MD
NPI 1891352928
Surgery in Roanoke, VA

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: October 18, 2026.

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

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, PacificSource Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

5

Medicare enrollment records show Nicole Broden reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carilion Healthcare Corporation
0.7 mi
Multi-Specialty
213 S JEFFERSON ST STE 1006
Roanoke, VA 24011
  • Reassigned Medicare billing, Virginia enrollment
  • 956 clinicians in this Medicare group
NPI 1447206370 (540) 224-5452
Carilion Medical Center
1.5 mi
Multi-Specialty
1906 BELLEVIEW AVE SE
Roanoke, VA 24014
  • Reassigned Medicare billing, Virginia enrollment
  • 1,207 clinicians in this Medicare group
NPI 1730123472 (540) 981-7000
Carilion Franklin Memorial Hospital
20 mi
General Acute Care Hospital
180 FLOYD AVE
Rocky Mount, VA 24151
  • Reassigned Medicare billing, Virginia enrollment
  • 127 clinicians in this Medicare group
NPI 1710970918 (540) 483-5277
Carilion Rockbridge Community Hospital
22 mi
Rural Health
18080 MAIN ST
Buchanan, VA 24066
  • Reassigned Medicare billing, Virginia enrollment
  • 507 clinicians in this Medicare group
NPI 1144848003 (540) 254-1239
Billings Clinic
1,467 mi
Family Medicine
620 S HAYNES AVE
Miles City, MT 59301
  • Reassigned Medicare billing, Montana enrollment
  • 1,264 clinicians in this Medicare group
NPI 1427194836 (406) 233-7000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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
3 RIVERSIDE CIR
ROANOKE, VA 24016
Roanoke City (540) 224-5170
KRISTIN MCCOY MD
Surgery
3 RIVERSIDE CIR
ROANOKE, VA 24016
Roanoke City (540) 224-5170
MRS. MODUPE OLUWASEYI JOLAOSO WHITE FNP-C
Nurse Practitioner (Family)
3 RIVERSIDE CIR
ROANOKE, VA 24016
Roanoke City (540) 224-5170
KELLY KUGACH
Podiatrist (Foot & Ankle Surgery)
3 RIVERSIDE CIR
ROANOKE, VA 24016
Roanoke City (540) 510-6200
VISHAL B. GOHIL M.D.
Internal Medicine (Gastroenterology)
3 RIVERSIDE CIR
ROANOKE, VA 24016
Roanoke City (540) 224-5170
CARLOS MORA
Psychiatry & Neurology (Neurology)
3 RIVERSIDE CIR
ROANOKE, VA 24016
Roanoke City (540) 224-5170
DR. GUY KATZ MD
Surgery
3 RIVERSIDE CIR
ROANOKE, VA 24016
Roanoke City (540) 224-5170
ASTRID BOTTY VAN DEN BRUELE M.D.
Surgery
3 RIVERSIDE CIR
ROANOKE, VA 24016
Roanoke City (540) 224-5170

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 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.

Where is Nicole Broden located?

Nicole Broden practices at 3 Riverside Cir, Roanoke, VA 24016. The listed phone number is (540) 224-5170.

What is Nicole Broden's specialty?

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

Is Nicole Broden enrolled in Medicare?

Yes. Nicole Broden is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Nicole Broden's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Broden reassigns Medicare benefits to 5 organizations: Carilion Healthcare Corporation (Roanoke, VA), Carilion Medical Center (Roanoke, VA), Carilion Franklin Memorial Hospital (Rocky Mount, VA), Carilion Rockbridge Community Hospital (Buchanan, VA) and Billings Clinic (Miles City, MT). 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 Nicole Broden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Broden accept?

Health plans from Blue Cross and Blue Shield of Montana and PacificSource Health Plans list Nicole Broden 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.

Is Nicole Broden affiliated with any hospitals?

According to CMS data, Nicole Broden is affiliated with Carilion Medical Center.

When was this NPI record last updated?

The NPPES record for Nicole Broden was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.