DR. KENNETH R BROADBENT (NPI# 1447232285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447232285 |
| Entity Type | Individual |
| Full Name | DR. KENNETH R BROADBENT |
| Credential | MD |
| Practice Address |
1140 E 3900 S #360 Salt Lake City UT 84124-1228 |
| Practice Telephone | 8012648686 |
| Practice Fax Number | 8012648962 |
| Mailing Telephone | 8012648686 |
| Mailing Fax Number | 8012648962 |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2013-07-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 2677572-1205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
1140 E 3900 S #360 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84124-1228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760481162 | Timothy Robert Lapine | Pediatrics | 1140 E 3900 S, Salt Lake City, UT 84124-1228 | 2005-07-18 |
| 1295166809 | Marnae Harward | Nurse Practitioner | 1140 E 3900 S, Ste 400, Salt Lake City, UT 84124-1228 | 2013-12-06 |
| 1568893279 | Lindsay Janke | Physician Assistant | 1140 E 3900 S, Ste 340, Salt Lake City, UT 84124-1228 | 2013-12-05 |
| 1841628666 | Robert Sylvester | Nurse Practitioner | 1140 E 3900 S, Suite 360, Salt Lake City, UT 84124-1228 | 2013-10-15 |
| 1336584861 | Kristin May Brown | Physician Assistant | 1140 E 3900 S, Suite 410, Salt Lake City, UT 84124-1228 | 2013-05-10 |
| 1447593520 | Linh Ai Moran | Obstetrics & Gynecology | 1140 E 3900 S, Salt Lake City, UT 84124-1228 | 2013-03-27 |
| 1548516172 | Megan Judkins | Genetic Counselor, MS | 1140 E 3900 S, St. Mark's Hospital, Salt Lake City, UT 84124-1228 | 2012-08-01 |
| 1457627507 | Obstetrix Medical Group of Utah, PC | Obstetrics & Gynecology | 1140 E 3900 S, Ste 390, Salt Lake City, UT 84124-1228 | 2012-03-22 |
| 1326328345 | Louis V Melini | Physician Assistant | 1140 E 3900 S, 360, Salt Lake City, UT 84124-1228 | 2011-08-22 |
| 1508155193 | Sean Frederick Edmunds | Obstetrics & Gynecology | 1140 E 3900 S, Ste 400, Salt Lake City, UT 84124-1228 | 2011-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487273298 | Shannon Penny Price | Social Worker | 4465 Maybeck Place, Condo C, Millcreek, UT 84124 | 2020-04-11 |
| 1922654367 | Joseph C Melvin Md PC | Colon & Rectal Surgery | 1250 East 3900 South Ste 320, Salt Lake City, UT 84124 | 2019-08-12 |
| 1366923252 | Melanie Stumpf | Counselor | 1141 E 3900, Suite A170, Salt Lake City, UT 84124 | 2018-08-28 |
| 1376033993 | Michelle Flowers | Speech-Language Pathologist | 2120 East 3900 South, Ste 200, Holladay, UT 84124 | 2018-05-18 |
| 1740797257 | Lissa Anne Hutchings | Nurse Practitioner | 1160 E 3900 S Ste 4100, Salt Lake City, UT 84124 | 2018-01-05 |
| 1316465693 | Randy Gines | Counselor | 4460 S Highland Drive # 230, Murray, UT 84124 | 2017-09-06 |
| 1417470717 | Joshua Chandler Spencer | Counselor | 4460 South Highland Dr., 230, Murray, UT 84124 | 2017-07-19 |
| 1659891554 | Marcus Whitney | Counselor | 4460 S Highland Dr. # 230, Murray, UT 84124 | 2017-06-21 |
| 1518496884 | Courtney Nilson | Counselor | 4460 S. Highland Dr. #230, Murray, UT 84124 | 2017-06-08 |
| 1841687126 | Intrafilrx | Preferred Provider Organization | 3920 S 1100 E Ste 210, Salt Lake City, UT 84124 | 2015-04-23 |
| Find all providers in zip 84124 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619430303 | Hailey N. Baisch | Pediatrics | 81 N Mario Capecchi Dr Rm 1a.001, Salt Lake City, UT 84113-1125 | 2019-04-09 |
| 1811415565 | Community Health Centers, Inc. | Pediatrics | 324 Tenth Ave Ste 249, Salt Lake City, UT 84103-2889 | 2017-09-01 |
| 1033566658 | Kathryn Eleanor Curry Gradick | Pediatrics | University of Utah 50 North Medical Drive, Salt Lake City, UT 84132-0001 | 2016-05-24 |
| 1134582935 | Bradley Kramer | Pediatrics | 1140 E 3900 S Ste 360, Salt Lake City, UT 84124-1247 | 2016-03-30 |
| 1831523828 | Max Shaw Perelman | Pediatrics | 515 E 100 S, Suite 200, Salt Lake City, UT 84102-4211 | 2013-08-26 |
| 1780950147 | Jonathan Wheatley Schmidt | Pediatrics | University of Utah 30 N 900 E, Salt Lake City, UT 84132-0001 | 2012-03-29 |
| 1942508619 | Charles Elliott Richards | Pediatrics | 767 Sunrise Ave, Salt Lake City, UT 84103-3735 | 2011-03-04 |
| 1922331479 | David Ray Thomas | Pediatrics | 2795 Casto Ln, Salt Lake City, UT 84117-6304 | 2009-09-16 |
| 1417101882 | Scott Szucs Carleton | Pediatrics | 1225 3rd Ave, Salt Lake City, UT 84103-4338 | 2008-11-11 |
| 1063665032 | Jennifer Goldman Luthy | Pediatrics | University Pediatric Clinic, 50 N Medical Drive, Salt Lake City, UT 84132-0001 | 2008-11-04 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84124 |
Please comment or provide details below to improve the information on DR. KENNETH R BROADBENT.
| 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.