BRODERICK DARYL KING (MD) – Internal Medicine Physician, NPI 1770551889
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,930 INTERNAL MEDICINE in VA
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Provider Addresses for BRODERICK DARYL KING (MD)
Aubreys Loop, South Boston, Halifax County, Virginia, 23592, United States
SOUTH BOSTON, VA 245925056
Phone: (434) 517-3879
Fax: (434) 517-3989
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 5 Open Payments records for all available years, with a total value of $87.
Total Amount is formed as General ($87) + Research ($0) + Ownership ($0) = $87.
Last reported payment date: 2024-04-23 • Largest payer in this snapshot: Novo Nordisk Inc ($57).
Total Amount
$87
General + Research + Ownership
Payments
5
Total payment records
General Amount
$87
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $57 |
| Amgen Inc. | $15 |
| Abbott Laboratories | $15 |
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: 2004-12-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041229000133 | I | Internal Medicine | VA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 83036 | Hemoglobin a1c level | 217 | 127 | $0 |
| 81003 | Automated urinalysis test | 44 | 34 | $0 |
| 82947 | Blood glucose (sugar) level | 14 | 14 | $0 |
Insurance plans in this area (ZIP 24592)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | VA | |
| Clinical Social Worker | VA | |
| - | VA | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | VA | |
| Clinical Social Worker | VA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| Nurse Practitioner | VA |
Reviews
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