Individual ProviderJulie BroylesInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address7801 Academy Rd NE, Albuquerque, NM 87109-3379(505) 272-2700(505) 272-3120PECOS EnrollmentBased on the most recent information from CMS, provider Julie Broyles does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1114934155Provider TypeIndividualFull NameBroyles, JulieGenderFemaleSole ProprietorNoEnumeration Date8/2/2006Last Updated3/22/2017Contact InformationPractice LocationPractice Address7801 Academy Rd NE, Albuquerque, NM 87109-3379Phone(505) 272-2700Fax(505) 272-2760Mailing LocationMailing Address933 Bradbury Dr SE, Suite 2222, Albuquerque, NM 87106-4374Phone(505) 272-3120FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense92-354New Mexico