Jake Broscha

ActiveIndividual ProviderSpecialty not listed
NPI issued: June 5, 2015

Quick Facts

NPI Number
1205216082
TypeIndividual
StatusActive
SpecialtySpecialty not listed
Taxonomy225200000X — Specialty not listed
Phone
(605) 563-2251
StateSD

NPI Validation Status: Verified

Valid 10-digit NPI number (1205216082)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (June 5, 2015)
Data source: CMS NPPES

Provider Overview

JAKE BROSCHA is a Healthcare provider based in Centerville, SD who has been registered with CMS since 2015. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1205216082
Provider TypeIndividual Provider
GenderMale
StatusActive
Enumeration DateJune 5, 2015

Practice Location

CityCenterville
StateSD
ZIP Code57014-2168
Phone(605) 563-2251

Specialties & Licenses

★ Primary
SpecialtySpecialty not listed
Taxonomy Code225200000X
License StateSD

Mailing Address

CityCenterville
StateSD
ZIP Code57014-2168
Phone(605) 563-2251
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1205216082 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1205216082for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1205216082 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

📊
61,358
Specialty not listed Providers in the US

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People Also Ask

What is Jake Broscha's NPI number?
Jake Broscha's NPI number is 1205216082, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Jake Broscha's NPI currently active?
Yes, Jake Broscha's NPI status is Active as of the latest CMS NPPES database updates.
What does Jake Broscha specialize in?
Jake Broscha specializes in Specialty not listed. The healthcare taxonomy code associated with this specialty is 225200000X.
Where does Jake Broscha practice?
Jake Broscha practices in Centerville, SD 57014-2168.
When was Jake Broscha's NPI issued?
Jake Broscha's NPI was issued on June 5, 2015.
What is Jake Broscha's provider type?
Jake Broscha is registered as an Individual Provider under CMS NPI Type 1.