Broadmoor Srg Pllc

Broadmoor Srg Pllc is a healthcare organization registered as Dentist in Mesquite, TX, holding Type 2 (organization) NPI 1831839455 since 2022. The authorized official on file is Nina Abtahi, Manager.

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NPI	1831839455
Entity type	Organization (Type 2)
Legal business name	Broadmoor Srg Pllc
Other name	<Unavail>
Practice address	500 N GALLOWAY AVE STE 6, Mesquite, TX, 75149
Phone	2144931216
Enumeration date	2022-03-31
Last updated in NPPES	2022-10-12

Authorized official

Name	Nina Abtahi
Title	Manager
Phone	2144931216

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
1223G0001X	General Practice Dentistry	Secondary	—	—
122300000X	Dentist	Primary	—	—

Copy-ready billing details

Provider: Broadmoor Srg Pllc
NPI: 1831839455
Taxonomy: 122300000X (Dentist)
Address: 500 N GALLOWAY AVE STE 6, Mesquite, TX, 75149

Verify this record

Cross-check NPI 1831839455 against the authoritative CMS record: view Broadmoor Srg Pllc on the official NPPES registry .

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. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-10-12. Verify at npiregistry.cms.hhs.gov.

Where is Broadmoor Srg Pllc located?

The practice location on file with NPPES is in Mesquite, TX.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-10-12.