Gary Broadnax is a Specialist in Augusta, Georgia. Gary Broadnax practices all healthcare services and medical treatments related to Specialist. The NPI Number for Gary Broadnax is 1033278361. The last update date is 2010-11-12.
Gary Broadnax's current location address is 1289 Broad St, Augusta, Georgia. You can contact this provider via phone number 7067245557 and fax number 7067245293. The mailing address for Gary Broadnax is 1289 Broad St, Augusta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Broadnax |
|---|---|
| Address | 1289 Broad St, Augusta, Georgia |
| Phone Number | 7067245557 |
| Fax Number | 7067245293 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1033278361 |
|---|---|
| Provider Enumeration Date | 2006-12-06 |
| Last Updated Date | 2010-11-12 |
Provider Mailing Address Detail
| Address | 1289 Broad St |
|---|---|
| City | Augusta |
| State | Georgia (GA) |
| Post Code | 309011187 |
| Phone Number | 7067245557 |
| Fax Number | 7067245293 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 586045874 | GA | PEACHSTATE HEALTH PLAN | |
| 586045874 | GA | CIGNA HEALTHCARE | |
| 586045874 | GA | BCBS OF GEORGIA | |
| 586045874 | GA | AMERIGROUP COMMUNITY CARE | |
| 586045874 | AETNA HEALTHCARE | ||
| 586045874 | HUMANA | ||
| 586045874 | GA | UNITED HEALTHCARE | |
| G16213 | SC | SOUTH CAROLINA MEDICAID |
Post Comment/ Review Below
What is the unique identification code assigned to Gary Broadnax by the Centers for Medicare & Medicaid Services?
The Gary Broadnax has been issued the NPI (National Provider Identifier) 1033278361. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Gary Broadnax?
The Gary Broadnax is physically situated at 1289 Broad St, in the city of Augusta, state of GA, with the postal code 309011187.
What is Gary Broadnax's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Gary Broadnax is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
On what date did Gary Broadnax receive its 1033278361 assignment from the Centers for Medicare & Medicaid Services?
The Gary Broadnax was assigned its 1033278361 on 2006-12-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Gary Broadnax, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Gary Broadnax, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-11-12.