MICHAEL BRODER (NPI# 1356574115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356574115 |
| Entity Type | Individual |
| Full Name | MICHAEL BRODER |
| Credential | MD |
| Practice Address |
280 S Beverly Dr Suite 404 Beverly Hills CA 90212-3907 |
| Practice Telephone | 3108589555 |
| Practice Fax Number | 3108589552 |
| Mailing Telephone | 3108589555 |
| Mailing Fax Number | 3108589552 |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2009-08-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | A52301 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225104136 | Michael Broder | Optometrist | 2165 Tamiami Trl S, Venice, FL 34293-5034 | 2006-11-24 |
| 1669420832 | Michael Sylvan Broder | Radiology | 908 Huntsford Ter, Thomasville, NC 27360-2506 | 2006-05-04 |
| 1700415072 | Michael Broder | Student in an Organized Health Care Education/Training Program | 1001 Potrero Ave Bldg 80-83, San Francisco, CA 94110-3518 | 2020-04-07 |
| 1003031154 | Michael S. Broder | Psychologist | 1420 Locust St, 7g, Philadelphia, PA 19102-4223 | 2007-04-16 |
| 1104830348 | Michael H. Broder | Specialist | 2034 Chestnut St, Montgomery, AL 36106-1111 | 2006-07-27 |
| Street Address |
280 S BEVERLY DR SUITE 404 |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90212-3907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932331394 | Johnson First Care Inc | Family Medicine | 280 S Beverly Dr, Ste 202, Beverly Hills, CA 90212-3907 | 2009-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629535604 | Diego Bautista | Specialist/Technologist, Other | 324 S Beverly Drive #214, Beverely Hills, CA 90212 | 2019-02-26 |
| 1124582978 | California Surgery of Excellence, LLC | Clinic/Center | 269 S Beverly Dr Ste 809, Beverly Hills, CA 90212 | 2019-01-25 |
| 1356818132 | Kari Michelle Sacks | Social Worker | 300 South Beverly Drive, Beverly Hills, CA 90212 | 2018-10-30 |
| 1942782370 | Susan Elizabeth Smiley | Technician, Other | 160 S. Lasky Drive, Beverly Hills, CA 90212 | 2018-09-01 |
| 1417443714 | Sharona Asal Mossazadeh | Physician Assistant | 344 S Rodeo Dr, Beverly Hills, CA 90212 | 2018-07-10 |
| 1760983167 | Nina Rebecca Moradi | Marriage & Family Therapist | 420 S. Beverly Dr., Suite 100-19, Beverly Hills, CA 90212 | 2018-02-22 |
| 1376065946 | Rebecca Shelly Agi | Lactation Consultant, Non-RN | 350 South Reeves Dr., 201, Beverly Hills, CA 90212 | 2017-07-14 |
| 1952853582 | Dmarkis Randolph | Dietetic Technician, Registered | 269 S Beverly Drive, 1038, Beverly Hills, CA 90212 | 2016-10-31 |
| 1023560935 | Barrence Baytos | Kinesiotherapist | 260 S. Beverly Drive, Suite # 210, Beverly Hills, CA 90212 | 2016-10-26 |
| 1467810424 | Laura Fischer | Registered Nurse | 120 S Spalding Dr Ste 301, Beverly Hills, CA 90212 | 2016-02-05 |
| Find all providers in zip 90212 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043864184 | Gail Mezrow | Obstetrics & Gynecology | 1280 Coldwater Canyon Dr, Beverly Hills, CA 90210-2405 | 2019-07-26 |
| 1902363203 | Barry J Brock Md Inc. | Obstetrics & Gynecology | 421 N Rodeo Drive, Penthouse 1, Beverly Hills, CA 90210 | 2019-02-23 |
| 1932587201 | Jennifer M Chen | Obstetrics & Gynecology | 421 N Rodeo Dr Ph 1, Beverly Hills, CA 90210 | 2015-05-07 |
| 1083955959 | Myra Levinson | Obstetrics & Gynecology | 336 S Canon Dr, Beverly Hills, CA 90212-4516 | 2013-03-02 |
| 1285908178 | Sandra Aronberg | Obstetrics & Gynecology | 416 N Bedford Dr Ste 300, Beverly Hills, CA 90210-4309 | 2012-02-24 |
| 1518240860 | Edgar Augustus Guess Jr. | Obstetrics & Gynecology | 328 S Beverly Dr, Beverly Hills, CA 90212-4821 | 2011-09-22 |
| 1225365802 | Stacey Rosenbaum, M.d., Inc. | Obstetrics & Gynecology | 421 N. Rodeo Dr., Penthouse 1, Beverly Hills, CA 90210-4536 | 2009-11-03 |
| 1407180169 | James S Goldrich | Obstetrics & Gynecology | 256 S Linden Dr, Beverly Hills, CA 90212-3705 | 2009-09-29 |
| 1295870939 | Paul Harold Crane | Obstetrics & Gynecology | 415 N Crescent Dr Ste 100, Beverly Hills, CA 90210-4861 | 2007-02-20 |
| 1770682593 | Peter David Weiss | Obstetrics & Gynecology | 421 North Rodeo Drive, Penthouse #1, Beverly Hills, CA 90210 | 2006-09-21 |
| Find all providers in BEVERLY HILLS | ||||
| City | BEVERLY HILLS |
| Zip Code | 90212 |
Please comment or provide details below to improve the information on MICHAEL BRODER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.