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Broad Medical Group Inc.

Obstetrics & Gynecology Physician in Costa Mesa, CA · enumerated 2019 · authorized official Jennifer Broad, Ceo/President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1255997763

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Registry record

Entity type Organization (Type 2)
Legal business name Broad Medical Group Inc.
Practice address 1640 Newport Blvd Ste 300, Costa Mesa, CA, 92627
Phone (949) 720-9848
Fax (949) 720-9195
Enumeration date May 10, 2019
Last updated in NPPES Sep 6, 2025

Taxonomy & classification

207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Jennifer Broad
Title Ceo/President
Phone (949) 720-9848

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Broad Medical Group Inc.?
Broad Medical Group Inc. is registered in NPPES as a Obstetrics & Gynecology Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-06.