Sidney M Broder (NPI# 1851465025, PAC ID# 1254520620) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1851465025 |
| PAC ID by PECOS | 1254520620 |
| Professional Enrollment ID | I20110117000165 |
| Full Name | Sidney M Broder |
| Address |
31330 Schoolcraft Rd Suite 200 Livonia MI 48150-2042 |
| Gender | M |
| Graduation Year | 1982 |
| Primary Specialty | NEUROLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230197 | GENESYS REGIONAL MEDICAL CENTER - HEALTH PARK |
| 230167 | MCLAREN GREATER LANSING |
| Address | Phone | Organization |
|---|---|---|
| 4605 Genesys Pkwy, Grand Blanc, MI 48439-8067 | 8106069393 | |
| 31330 Schoolcraft Rd, Suite 200, Livonia, MI 48150-2042 | ||
| 20905 Greenfield Rd, Southfield, MI 48075-5348 | 2485138229 | NORTHLAND RADIOLOGY INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Street Address |
31330 SCHOOLCRAFT RD SUITE 200 |
| City | LIVONIA |
| State | MI |
| Zip | 48150-2042 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bernice Diop | Clinical Social Worker | Hegira Health Inc | 37450 Schoolcraft Rd, Suite 170, Livonia, MI 48150-1081 |
| Lynn C Keidan | Clinical Social Worker | Hegira Health Inc | 37450 Schoolcraft Rd, Suite 170, Livonia, MI 48150-1081 |
| Anna K Vantoai | Psychiatry | Hegira Health Inc | 37450 Schoolcraft Rd, Suite 170, Livonia, MI 48150-1081 |
| Patrick F Jary | Chiropractic | 36616 Plymouth Rd, Livonia, MI 48150-1127 | |
| Jack F Moores Iii | Maxillofacial Surgery | Oakland Oral Surgery Associates | 35000 Schoolcraft Rd, Livonia, MI 48150-1227 |
| Pradeep A Kissoondial | Maxillofacial Surgery | Oakland Oral Surgery Associates | 35000 Schoolcraft Rd, Livonia, MI 48150-1227 |
| Robert N Chames | Maxillofacial Surgery | Oakland Oral Surgery Associates | 35000 Schoolcraft Rd, Livonia, MI 48150-1227 |
| Mervyn Winston Smith | Family Practice | Visiting Physicians Alliance Inc | 34935 Schoolcraft Rd, Livonia, MI 48150-1317 |
| John P Thomas | Chiropractic | 34730 Plymouth Rd, Livonia, MI 48150-1440 | |
| Paul D Work | Family Medicine | American Current Care of Michigan PC | 34095 Plymouth Rd, Livonia, MI 48150-1511 |
| Find all physicians in zip 48150 | |||
| City | LIVONIA |
| Zip Code | 48150 |
| Specialty | NEUROLOGY |
| City + Specialty | LIVONIA + NEUROLOGY |
Please comment or provide details below to improve the information on Sidney M Broder.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.