Broad Medical Group Inc.
NPI 1255997763 · Obstetrics & Gynecology Physician · Costa Mesa, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Broad Medical Group Inc. is a Obstetrics & Gynecology Physician organization in Costa Mesa, CA (NPI 1255997763).
Provider details
- NPI number
- 1255997763
- Entity type
- Organization
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jennifer Broad, Ceo/President(949) 720-9848
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
Mailing address
Registry dates
- Enumerated
- 2019-05-10
- Last updated
- 2025-09-06
- Certified
- 2025-09-06
Frequently asked questions
- What is Broad Medical Group Inc.'s NPI number?
- Broad Medical Group Inc.'s National Provider Identifier (NPI) is 1255997763, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Broad Medical Group Inc.?
- Broad Medical Group Inc. is classified in the NPPES registry as Obstetrics & Gynecology Physician (Allopathic & Osteopathic Physicians).
- Where is Broad Medical Group Inc. located?
- Broad Medical Group Inc.'s practice location on file with NPPES is 1640 Newport Blvd Ste 300, Costa Mesa, CA 92627-7725.
- What is Broad Medical Group Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Broad Medical Group Inc. is (949) 720-9848.
- Does Broad Medical Group Inc. accept Medicare?
- Broad Medical Group Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Broad Medical Group Inc.?
- The authorized official listed on Broad Medical Group Inc.'s NPPES record is Jennifer Broad, Ceo/President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Broad Medical Group Inc.'s NPI active?
- Yes — Broad Medical Group Inc.'s NPI (1255997763) is active in the NPPES registry as of the last update on 2025-09-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.