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

Peter Broekelschen, MD

Individual provider Gastroenterology Physician · NPI 1366631525

Peter Broekelschen, MD is a Gastroenterology in Newport Beach, California. Qualified in 1967, 59 years ago. Practices as a sole proprietor and offers telehealth. Licensed in California.

Years since qualifying
59
Licensed in
CA
In the registry since
2007
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

1441 Avocado Ave Ste 607
Newport Beach, CA 92660-7707
Phone: (949) 759-1042
Fax: (949) 759-0143
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence A25076 (CA)

Record details

NPI number1366631525
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 23, 2007
Last updated in NPPESApril 23, 2008
Mailing address1441 Avocado Ave Ste 607, Newport Beach, CA 92660-7707

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1967 (59 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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