Broad Medical Group Inc.
NPI 1255997763ActiveOrganization· Obstetrics & Gynecology· Costa Mesa, CA
Obstetrics & Gynecology in Costa Mesa, California, registered in NPPES in May 2019. The authorized official on file is Jennifer Lauren Broad, MD, Ceo/President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1255997763 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 10, 2019 |
| Last updated in NPPES | Sep 6, 2025 |
| Certified by provider | Sep 6, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Obstetrics & Gynecology Primary | 207V00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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