NPI age
19 years
Enumerated 2006-07-14
● Active
Type 1 · Individual
Raymond J Broadbent, CRNA
Broadbent is 1 of 1 nurse anesthetist, certified registered providers in Lindale and 1 of 6676 in Texas.
Primary specialty
Nurse Anesthetist, Certified Registered
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-08-07
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 6676 active nurse anesthetist, certified registered providers in Texas.
NPI age
19 years
↑ 6 yr above median (13 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
0
35% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Practice location
15862 State Highway 110 N
Lindale, TX 757715932
Mailing address
129 Idaho Street
Van, TX 75790
Additional practice locations
4 secondary locations on file with NPPES.
Location 2
800 E Dawson St
Tyler, TX 757012036
Location 3
910 E Houston St Ste 400
Tyler, TX 757028368
Location 4
8389 S Broadway Ave
Tyler, TX 757035408
Location 5
1720 S Beckham Ave Ste 104
Tyler, TX 757014437
Specialties
-
Nurse Anesthetist, Certified Registered Primary(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 85109U | BCBSTX |
| 05 (TX) | 088824004 |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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