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

Nicole M Broden, MD

Individual provider Surgery Physician · NPI 1891352928

Nicole M Broden, MD is a General Surgery in Roanoke, Virginia. Qualified in 2019, 7 years ago. Practices with Carilion Medical Center, a 951-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
7
Licensed in
VA
In the registry since
2019
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3 Riverside Cir
Roanoke, VA 24016-4955
Phone: (540) 224-5170
Show map & directions

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

Additional practice locations (1)

  • 1441 N 12th St Fl 1, Phoenix, AZ 85006-2837 — (602) 521-5981

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 0101284289 (VA)
Surgery Physician Taxonomy 208600000X · Licence 101284289 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1891352928
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 23, 2019
Last updated in NPPESJune 26, 2025
Certification dateJune 26, 2025

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Carilion Medical Center — 951 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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