Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kevin Wayne Broder, MD

Individual provider Plastic Surgery Physician · NPI 1205885902

Dr. Kevin Wayne Broder, MD is a Plastic Surgery Physician in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4510 Executive Dr Ste 200
San Diego, CA 92121
Phone: (858) 453-7224
Fax: (858) 453-7268
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence A82409 (CA)

Record details

NPI number1205885902
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 9, 2006
Last updated in NPPESSeptember 5, 2012

Other providers in San Diego