SAVANNAH MARTHA BROADLICK DO NPI 1538798889

NPI Information

  • NPI: 1538798889
  • Provider Name: SAVANNAH MARTHA BROADLICK, DO
  • Classification: Hospitalist - 208M00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1717 S J ST
    TACOMA, WA
    ZIP 98405
  • Phone: (253) 426-6341

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NPI Details

Savannah Martha Broadlick, DO is a hospitalist in Tacoma, WA with 5 years of experience. The provider is hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. Savannah Martha Broadlick, DO NPI is 1538798889. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: PACIFIC NW UN OF HS, COL OF OSTEOPATHIC MEDICINE
Graduation Year:2020

The provider's business location address is:

1717 S J ST
TACOMA, WA
ZIP 98405-933
Phone: (253) 426-6341
Fax: (253) 426-6344

The NPI 1538798889 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/7/2020 and was last updated on 2/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineOP61471452WASHINGTONNo
2208M00000XHospitalistOP61471452WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12165838MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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