OrganizationActive
Dr.kenbroshddspc
NPI 1134399421 · Point of Service · Mascoutah, IL
Dr.kenbroshddspc is a Point of Service organization in Mascoutah, IL (NPI 1134399421).
Provider details
- NPI number
- 1134399421
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Ken Brosh, Pres.(618) 566-7000
- License
- 019019341 (IL)
Specialties & taxonomies
Managed Care Organizations
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1180 N 6th St
Mascoutah, IL 62258-1178
Phone: (618) 566-7000
Fax: (618) 566-7000
Street-level locationGet directions
Mailing address
1180 N 6th St
Mascoutah, IL 62258-1178
Registry dates
- Enumerated
- 2008-03-03
- Last updated
- 2008-03-03
Frequently asked questions
- What is Dr.kenbroshddspc's NPI number?
- Dr.kenbroshddspc's National Provider Identifier (NPI) is 1134399421, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dr.kenbroshddspc?
- Dr.kenbroshddspc is classified in the NPPES registry as Point of Service (Managed Care Organizations).
- Where is Dr.kenbroshddspc located?
- Dr.kenbroshddspc's practice location on file with NPPES is 1180 N 6th St, Mascoutah, IL 62258-1178.
- What is Dr.kenbroshddspc's phone number?
- The practice phone number listed in the NPPES registry for Dr.kenbroshddspc is (618) 566-7000.
- Who is the authorized official for Dr.kenbroshddspc?
- The authorized official listed on Dr.kenbroshddspc's NPPES record is Ken Brosh, Pres.. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dr.kenbroshddspc's NPI active?
- Yes — Dr.kenbroshddspc's NPI (1134399421) is active in the NPPES registry as of the last update on 2008-03-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.