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

Broad Street Medical LLC

Organization Vascular Surgery Physician · NPI 1124670922

Broad Street Medical LLC provides Vascular Surgery Physician services in Philadelphia, Pennsylvania. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2033 S Broad St Ste B
Philadelphia, PA 19148-5505
Phone: (215) 809-1447
Fax: (224) 235-4652
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X

Record details

NPI number1124670922
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ami Almeda — Credentialing Manager · (224) 318-0118
NPI enumeratedJuly 11, 2019
Last updated in NPPESJuly 11, 2019
Mailing addressPo Box 302, Northbrook, IL 60065-0302

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