CASSIE K BROADHEAD, PA-C

NPI: 1083087944 · Individual · Active

Primary Specialty

Physician Assistant

Practice Location

1034 N 500 W
PROVO, UT 84604-3380 Map ↗
Phone: 801-357-3367

All Specialties & Licenses

  • Physician Assistant Primary (license: 9537931-1206, UT)
  • Physician Assistant (license: PT654, WY)

Other Practice Locations

97 Professional Way
Ste 2
Payson, UT 84651-1614 Map ↗
Phone: 801-465-4896

HIE Endpoints

  • CONNECT: https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
    via Bluemark LLC/ Office Ally

NPI Registration

Enumerated: 2015-11-01

Last CMS Update: 2025-11-20