CMS-1500 Box 24J / 33a • NPI
1356721872
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
2085R0204X (CMS 94)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Vascular and Interventional Radiology
Box 32 Service Location & ZIP+4
1416 6TH ST SW, MASON CITY, IA, 50401-4818
✓ 9-Digit EDI 837 ZIP+4 (50401-4818)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1356721872 (NICHOLAS BROADBENT, D.O.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
✓ Eligible
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1356721872)
Medicare Beneficiaries
1,285
Total Billed Services
2,157
Distinct CPT/HCPCS Codes
182
Medicare Allowed Total
$132,321.72
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
10005 | Fine needle aspiration biopsy using ultrasound guidance, first growth | 13 |
27096 | Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance | 14 |
32408 | Core needle biopsy of lung or center cavity of chest (mediastinum), accessed through skin | 25 |
32555 | Aspiration of fluid from chest cavity using imaging guidance | 45 |
36558 | Insertion of tunneled central venous tube for infusion (5 years or older) | 19 |
36561 | Insertion of central venous tube with port (5 years or older) | 26 |
36589 | Removal of tunneled central venous tube | 13 |
36590 | Removal of central venous tube with port or pump | 14 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1356721872 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | NICHOLAS BROADBENT, D.O. |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Vascular and Interventional Radiology NUCC Code: 2085R0204X (Radiology, Vascular & Interventional Radiology) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1416 6TH ST SW, MASON CITY, IA, 50401-4818 |
| Practice Telephone / Fax | Tel: (641) 424-0102 |
| Administrative Mailing Address | 530 NE GLEN OAK AVE, PEORIA, IL, 61637-0001 |
| Enumeration & Last Sync | Enumerated: 2015-06-01 | CMS Record Updated: 2026-05-22 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (2085R0204X)
What Does Taxonomy Code 2085R0204X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2085R0204X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Vascular and Interventional Radiology"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (NICHOLAS BROADBENT, D.O.)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
2085R0204X — Radiology, Vascular & Interventional RadiologyPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Vascular and Interventional Radiology | State: IA | License: 05808 | Primary: Yes (Primary) |
390200000X — Student in an Organized Health Care Education/Training ProgramPlain English: Licensed & Credentialed Student in an Organized Health Care Education/Training Program | State: N/A | License: Verified | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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