Jeremy Phillippe Broadnax in Springfield - Pain Medicine
Jeremy Phillippe Broadnax - NPI 1326204611
Jeremy Phillippe Broadnax is a Pain Medicine in Springfield, Missouri. Jeremy Phillippe Broadnax practices all healthcare services and medical treatments related to Pain Medicine. The NPI Number for Jeremy Phillippe Broadnax is 1326204611. The last update date is 2019-08-01.
Jeremy Phillippe Broadnax's current location address is 1229 E Seminole St Ste 320, Springfield, Missouri. You can contact this provider via phone number 4178202064. The mailing address for Jeremy Phillippe Broadnax is 1229 E Seminole St Ste 320, Springfield, Missouri. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jeremy Phillippe Broadnax |
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Address | 1229 E Seminole St Ste 320, Springfield, Missouri |
Phone Number | 4178202064 |
Fax Number | |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1326204611 |
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Provider Enumeration Date | 2008-08-06 |
Last Updated Date | 2019-08-01 |
Provider Mailing Address Detail
Address | 1229 E Seminole St Ste 320 |
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City | Springfield |
State | Missouri (MO) |
Post Code | 658042227 |
Phone Number | 4178202064 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Pain Medicine |
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Taxonomy | 207Lp2900X |
Licence No | 2013031744 |
Definition: An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordi |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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200332001 | AR | -- | |
431560263 | MO | TRICARE | |
1326204611 | MO | -- | |
P01246688 | MO | RR MCR |
Post Comment/ Review Below
What is the unique identifier code issued to Jeremy Phillippe Broadnax by the Centers for Medicare & Medicaid Services (CMS)?
The Jeremy Phillippe Broadnax has been assigned the NPI (National Provider Identifier) 1326204611. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Jeremy Phillippe Broadnax's facilities are situated?
The facilities of Jeremy Phillippe Broadnax are physically located at the following address: 1229 E Seminole St Ste 320, Springfield, MO, 658042227.
What is Jeremy Phillippe Broadnax's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jeremy Phillippe Broadnax's area of specialization is Pain Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Lp2900X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1326204611 to Jeremy Phillippe Broadnax?
The Centers for Medicare & Medicaid Services originally issued the 1326204611 to Jeremy Phillippe Broadnax on 2008-08-06.
As of what date was the information pertaining to Jeremy Phillippe Broadnax, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jeremy Phillippe Broadnax, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-08-01.
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