DR. BRIAN MARK BROADDUS (M.D.) – Anesthesiology Physician, NPI 1669634234

DR. BRIAN MARK BROADDUS (M.D.) is a healthcare provider. based in Beaumont, Texas. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. N4961 (TX). The NPI Number for DR. BRIAN MARK BROADDUS (M.D.) is 1669634234

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRIAN MARK BROADDUS (M.D.)
NPI
1669634234
Phone
(409) 838-5214
Address
PO BOX 5587
Enumeration Date
25 June 2008
Last Update Date
8 December 2016

Doctor Profile

Medical School Name
BAYLOR COLLEGE OF MEDICINE
Secondary Phone
4095276387
Graduation Year
2006 (20 years ago)
PAC ID
7214060300
Group Practice PAC ID
8325307176
Professional Enrollment ID
I20100726000636
Address ID
TX777065989BE7090XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

4,591 ANESTHESIOLOGY in TX

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Provider Addresses for DR. BRIAN MARK BROADDUS (M.D.)

  • PO BOX 5587

    BEAUMONT, TX 777265587

    Phone: (409) 838-5214

    Type: Mailing

  • 755, North 11th Street, Beaumont, Jefferson County, Texas, 78734, United States

    SUITE P3600

    BEAUMONT, TX 777021501

    Phone: (409) 838-5214

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $102.

Total Amount is formed as General ($102) + Research ($0) + Ownership ($0) = $102.

Last reported payment date: 2023-11-16 • Largest payer in this snapshot: ATRICURE, INC. ($102).

Total Amount

$102

General + Research + Ownership

Payments

1

Total payment records

General Amount

$102

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-16

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ATRICURE, INC.$102
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: 2020-09-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20100726000636IAnesthesiologyTXTBD
I20200921000919IAnesthesiologyPATBD

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
00811Anesthesia for other procedure on large bowel using an endoscope7574$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope4847$0
36620Insertion of artery tube for blood sampling or infusion through skin3737$0
99212Established patient office or other outpatient visit, 10-19 minutes2216$0
00812Anesthesia for exam of colon using an endoscope1717$0
View full utilization report →

Insurance plans in this area (ZIP 77726)

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Provider's Procedures

DR. BRIAN MARK BROADDUS (M.D.) performs procedures in ANESTHESIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYTX36556Insertion of central venous catheter for infusion, patient 5 years or older2321

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: 8325307176View full group profile
NameSpecialtyState
-TX
A N E S T H E S I O L O G YTX
Family PracticeTX
Nurse PractitionerTX

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Frequently asked questions

What is the standard ID for DR. BRIAN MARK BROADDUS (M.D.) in the U.S.?
In the U.S., DR. BRIAN MARK BROADDUS (M.D.) is identified by NPI 1669634234.
Quick check: is DR. BRIAN MARK BROADDUS (M.D.) active?
Public NPPES data shows DR. BRIAN MARK BROADDUS (M.D.) with an active NPI status right now.
Which specialty label fits DR. BRIAN MARK BROADDUS (M.D.)?
NPPES ties DR. BRIAN MARK BROADDUS (M.D.) to Anesthesiology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is DR. BRIAN MARK BROADDUS (M.D.) tied to Beaumont, Texas?
If you are local to Beaumont, Texas, DR. BRIAN MARK BROADDUS (M.D.) may be relevant to your search.
Who maintains DR. BRIAN MARK BROADDUS (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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