BRIAN G BROADHEAD (D.P.M.) – Podiatrist, NPI 1275573081

BRIAN G BROADHEAD (D.P.M.) is a healthcare provider. based in Florissant, Missouri. specializing in PODIATRY. They hold the professional credentials D.P.M.. They hold a License No. 2001014944 (MO). The NPI Number for BRIAN G BROADHEAD (D.P.M.) is 1275573081

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
BRIAN G BROADHEAD (D.P.M.)
NPI
1275573081
Phone
(314) 837-8477
Address
111 FLORISSANT OAKS SHOP CTR
Enumeration Date
8 June 2006
Last Update Date
29 July 2010

Doctor Profile

Medical School Name
DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Secondary Phone
6369469090
Graduation Year
2000 (26 years ago)
PAC ID
8729084678
Group Practice PAC ID
0749505220
Professional Enrollment ID
I20100915000583
Address ID
MO633032725SA1995XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

285 PODIATRY in MO

Provider Addresses for BRIAN G BROADHEAD (D.P.M.)

  • 111 FLORISSANT OAKS SHOP CTR

    FLORISSANT, MO 630313933

    Phone: (314) 837-8477

    Fax: (314) 837-0611

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 32 Open Payments records for all available years, with a total value of $837.

Total Amount is formed as General ($837) + Research ($0) + Ownership ($0) = $837.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Kerecis Limited ($174).

Total Amount

$837

General + Research + Ownership

Payments

32

Total payment records

General Amount

$837

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-09-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100915000583IPodiatryMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
11721Removal of fingernails or toenails, 6 or more nails1,286412$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg438175$0
99212Established patient office or other outpatient visit, 10-19 minutes386258$0
73630X-ray of foot, minimum of 3 views352207$0
99213Established patient office or other outpatient visit, 20-29 minutes298216$0
View full utilization report →

Insurance plans in this area (ZIP 63031)

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Provider's Procedures

BRIAN G BROADHEAD (D.P.M.) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYMO11056Removal of 2 to 4 thickened skin growths1815

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749505220View full group profile
NameSpecialtyState
P O D I A T R YMO
P O D I A T R YMO

Reviews

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Frequently asked questions

Where can patients find BRIAN G BROADHEAD (D.P.M.)'s NPI?
You can confirm BRIAN G BROADHEAD (D.P.M.) with NPI 1275573081; it appears in the national provider directory.
Does this profile mean BRIAN G BROADHEAD (D.P.M.) is currently active?
Yes — BRIAN G BROADHEAD (D.P.M.) appears active in the national provider directory.
What does BRIAN G BROADHEAD (D.P.M.) treat or focus on?
Patients typically see BRIAN G BROADHEAD (D.P.M.) under the specialty Podiatrist. Clinical services aligned with this taxonomy classification.
Where is BRIAN G BROADHEAD (D.P.M.)'s primary listing?
We display Florissant, Missouri because that is what the record indicates for BRIAN G BROADHEAD (D.P.M.).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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