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

Justin Broadhead, DO

Individual provider Diagnostic Radiology Physician · NPI 1730574500

Justin Broadhead, DO is a Diagnostic Radiology in Mobile, Alabama. Graduated from William Carey University College of Osteopathic Medicine in 2015, 11 years ago. Practices with St Clair Professional Services Inc, a 74-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alabama, Illinois and Mississippi.

Years since qualifying
11
Trained at
William Carey University College of Osteopathic Medicine
Licensed in
AL, IL, MS
In the registry since
2015
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

2451 Fillingim St # 7TH
Mobile, AL 36617-2238
Phone: (251) 471-7207
Show map & directions

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

Additional practice locations (1)

  • 1120 N Melvin St, Gibson City, IL 60936-1477 — (217) 784-4251

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 2178 (AL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (MS)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 036179873 (IL)

Record details

NPI number1730574500
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 30, 2015
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026
Mailing address429 Pinehurst Dr, Meridian, MS 39305-9188

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolWILLIAM CAREY UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2015 (11 years in practice)
Group practice St Clair Professional Services Inc — 74 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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