BENJAMIN I. BRODER MD
NPI 1902977812
Family Medicine in Baldwin Park, CA

Active since November 13, 2006PECOS Enrolled
1011 BALDWIN PARK BLVD, BALDWIN PARK, CA 91706(626) 851-1011 Get Directions Write a Review

NPPES record last updated: February 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 7, 2024, Nov 30, 2021 (2 updates tracked since 2021).

About Benjamin I. Broder Md NPPES

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

BENJAMIN I. BRODER MD (NPI 1902977812) is an individual family medicine provider in Baldwin Park, California, licensed in California (G84784) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902977812
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBENJAMIN I. BRODERCredential: MD
Location Address1011 BALDWIN PARK BLVDBaldwin Park, CA 91706-5806
Mailing Address2397 Highland AveAltadena, CA 91001-2548 · (323) 574-8803
Sole ProprietorNo
Enumeration DateNovember 13, 2006
Last NPPES UpdateFebruary 7, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2024
NPI 1902977812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · G84784
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedHospitalistTaxonomy 208M00000X · License G84784 (CA)
1011 BALDWIN PARK BLVD, Baldwin Park, CA 91706

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Benjamin I. Broder Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91706 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
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.

Hospitalist
1011 BALDWIN PARK BLVD, 4 EAST HOSPITALIST OFFICE
BALDWIN PARK, CA 91706
Respiratory Therapist, Registered
1011 BALDWIN PARK BLVD
BALDWIN PARK, CA 91706
Family Medicine
1011 BALDWIN PARK BLVD
BALDWIN PARK, CA 91706
Emergency Medicine
1011 BALDWIN PARK BLVD
BALDWIN PARK, CA 91706
Pediatrics
1011 BALDWIN PARK BLVD
BALDWIN PARK, CA 91706
Family Medicine
1011 BALDWIN PARK BLVD
BALDWIN PARK, CA 91706
Physical Medicine & Rehabilitation
1011 BALDWIN PARK BLVD
BALDWIN PARK, CA 91706
Physician Assistant
1011 BALDWIN PARK BLVD
BALDWIN PARK, CA 91706

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 Benjamin Broder's NPI number?

The NPI number for Benjamin Broder is 1902977812. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Where is Benjamin Broder located?

Benjamin Broder practices at 1011 Baldwin Park Blvd, Baldwin Park, CA 91706. The listed phone number is (626) 851-1011.

What is Benjamin Broder's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Benjamin Broder enrolled in Medicare?

Yes. Benjamin Broder is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Benjamin Broder was last updated on February 7, 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.