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

Michael Broder

Individual provider Family Medicine Physician · NPI 1700415072

Michael Broder is a Family Practice in Raleigh, North Carolina. Graduated from Warren Alpert Medical School of Brown University in 2020, 6 years ago. Practices with St Thomas Community Health Center Inc, a 41-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
6
Trained at
Warren Alpert Medical School of Brown University
Licensed in
NC
In the registry since
2020
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Practice location Address checks out

1011 Rock Quarry Rd
Raleigh, NC 27610-3825
Phone: (919) 833-3111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 317878 (NC)

Record details

NPI number1700415072
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 7, 2020
Last updated in NPPESNovember 1, 2023
Certification dateNovember 1, 2023

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolWARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Graduated 2020 (6 years in practice)
Group practice St. Thomas Community Health Center Inc — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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