Individual provider · Type 1 NPI
Barry Broadnax Jr.
Student in an Organized Health Care Education/Training Program · Washington, DC
NPI number
1336029776
Active
Practice location
106 Irving St NW Ste 4200
Washington, DC 20010-2972
Mailing address
511 Gresham Pl NW
Washington, DC 20059-1010
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1336029776
Barry Broadnax Jr.'s National Provider Identifier is 1336029776, issued on Sep 5, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Washington, DC. The record was last updated on Sep 5, 2025.