Scott A Broberg
Pediatrician
3816 S.1st St.
Austin
, Texas 78704-7048
Scott A Broberg
Pediatrician
3816 S.1st St.
Austin
, Texas 78704-7048
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About
Features
Specialties
- Pediatrician
Languages spoken
- English
Location
First Address
- Scott A Broberg
- 4515 Seton Center Pkwy Suite 215
- Austin, TX
- Zip : 78759-5290
- Phone :
Second Address
- Scott A Broberg
- 3816 S.1st St.
- Austin, TX
- Zip : 78704-7048
- Fax : (512) 406-6266
- Phone : (512) 443-1311
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | F9241 | TX |
National Provider Identifier
| NPI | 1003822727 |
|---|---|
| Provider Name | Scott A Broberg |
| First Address | Austin, TX 78759-5290 |
| Second Address | Austin, TX 78704-7048 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/08/2006 |
| Last Update Date | 20/02/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 134195007 | (05) | TX |
| 134195008 | (05) | TX |
| 134195009 | (05) | TX |
| 134195010 | (05) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.