Dr. Heather Victoria Broyles, DO
Ophthalmology in Austin, TX. Individual provider (NPI-1).
NPI number1043714280
StatusActive
Last updated in NPPESNov 6, 2023
Details
- NPI
- 1043714280
- Entity type
- Individual (NPI-1)
- Name
- Dr. Heather Victoria Broyles
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 21, 2018
- Certification date
- Nov 6, 2023
- Last updated
- Nov 6, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OPHTHALMOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | T5834 | TX | Yes |
Practice location
3944 Rr 620 S Ste 222Austin, TX 78738-7000
Phone 512-263-1113
Mailing address
3944 Rr 620 S Ste 222Austin, TX 78738-7000
Phone 512-263-1113 · Fax 512-263-1119
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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