MICHAEL L BROADBENT (D.O.) – Anesthesiology Physician, NPI 1285684050

MICHAEL L BROADBENT (D.O.) is a healthcare provider. based in Logan, Utah. specializing in ANESTHESIOLOGY. They hold the professional credentials D.O.. They hold a License No. 377158-1204 (UT). The NPI Number for MICHAEL L BROADBENT (D.O.) is 1285684050

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL L BROADBENT (D.O.)
NPI
1285684050
Phone
(435) 753-1600
Address
274 N MAIN ST
Enumeration Date
11 May 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Secondary Phone
4357139700
Graduation Year
1998 (28 years ago)
PAC ID
4880618016
Group Practice PAC ID
0042293359
Professional Enrollment ID
I20060114000081
Address ID
UT843416000NO2380X400X300
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

565 ANESTHESIOLOGY in UT

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Provider Addresses for MICHAEL L BROADBENT (D.O.)

  • 274, Main Street, Sterling, Logan County, Colorado, 80751, United States

    LOGAN, UT 843213915

    Phone: (435) 753-1600

    Fax: (435) 753-9521

    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 2 Open Payments records for all available years, with a total value of $225.

Total Amount is formed as General ($225) + Research ($0) + Ownership ($0) = $225.

Last reported payment date: 2024-04-25 • Largest payer in this snapshot: GE HEALTHCARE ($209).

Total Amount

$225

General + Research + Ownership

Payments

2

Total payment records

General Amount

$225

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-25

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: 2006-01-14

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
I20060114000081IAnesthesiologyUTTBD

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 endoscope1515$0
View full utilization report →

Insurance plans in this area (ZIP 84321)

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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: 0042293359View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YUT
A N E S T H E S I O L O G YUT
-UT
Anesthesiology, Pain ManagementPA
A N E S T H E S I O L O G YUT
-UT
A N E S T H E S I O L O G YAZ
A N E S T H E S I O L O G YAZ
Certified Registered Nurse Anesthetist (Crna)WA
A N E S T H E S I O L O G YOR

Reviews

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Frequently asked questions

Is there an official ID for MICHAEL L BROADBENT (D.O.) in U.S. healthcare records?
The official identifier for MICHAEL L BROADBENT (D.O.) is NPI 1285684050.
Active or inactive — what applies to MICHAEL L BROADBENT (D.O.)?
You should see MICHAEL L BROADBENT (D.O.) as active in CMS-hosted NPPES data.
How would a patient describe MICHAEL L BROADBENT (D.O.)'s focus?
For MICHAEL L BROADBENT (D.O.), the primary taxonomy reads as Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Is MICHAEL L BROADBENT (D.O.) located near Logan?
MICHAEL L BROADBENT (D.O.) currently maps to Logan, Utah in this extract.
Can I trust this NPI listing for MICHAEL L BROADBENT (D.O.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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