DR. CHRISTOPHER MICHAEL BROADWAY (NPI# 1639308836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639308836 |
| Entity Type | Individual |
| Full Name | DR. CHRISTOPHER MICHAEL BROADWAY |
| Credential | M.D. |
| Practice Address |
1410 W Jefferson St Waxahachie TX 75165-2232 |
| Mailing Address |
3400 W Wheatland Rd Pav IIi Ste#360 Dallas TX 75237-4408 |
| Practice Telephone | 9729371210 |
| Practice Fax Number | 9729370243 |
| Mailing Telephone | 2148844700 |
| Mailing Fax Number | 2148844749 |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2013-11-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | P8016 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS | 8DZ581 | 01 |
| Street Address |
1410 W JEFFERSON ST |
| City | WAXAHACHIE |
| State | TX |
| Zip Code | 75165-2232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003911959 | Richard Dana Redington | Family Medicine | 1410 W Jefferson St, Waxahachie, TX 75165-2232 | 2006-09-14 |
| 1770774648 | Brent Wyatt Baker | Physician Assistant | 1410 W Jefferson St, Waxahachie, TX 75165-2232 | 2007-08-06 |
| 1760684203 | Richard D Redington Md Associated Family Practice Association | Family Medicine | 1410 W Jefferson St, Waxahachie, TX 75165-2232 | 2007-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730702523 | Texas Health Surgery Center Waxahachie, LLC | Clinic/Center | 1434 W Us Highway 287 Bypass, Suite 100, Waxahachie, TX 75165 | 2020-05-27 |
| 1649890112 | Roberta Mashel Wilks | Licensed Practical Nurse | 109 Southhampton Place, Waxahachie, TX 75165 | 2020-04-24 |
| 1376172072 | Marian Browning | Dietitian, Registered | 2400 North I35-e, Waxahachie, TX 75165 | 2020-04-04 |
| 1083240758 | Megan Byrom | Dietitian, Registered | 2400 North I-35e, Food and Nutrition Dept C/o Megan Byrom, Waxahachie, TX 75165 | 2020-03-13 |
| 1679118996 | Waxahachie Modern Dentistry, PC | Dentist | 1400 Us Highway 77 North, Suite 300, Waxahachie, TX 75165 | 2019-11-11 |
| 1194369546 | Eastland Memorial Hospital District | Skilled Nursing Facility | 3650 Interstate 35 E, Waxahachie, TX 75165 | 2019-10-29 |
| 1750935888 | Victoria Layne Oates | Registered Nurse | 125 Cantle St, Waxahachie, TX 75165 | 2019-07-26 |
| 1417519828 | Sarah Ann Key | Dentist | 1618 Us-287 Bus, Waxahachie, TX 75165 | 2019-07-05 |
| 1619433034 | Mariposa Perinatal Services Pllc | Obstetrics & Gynecology | 1510 W. Hwy 287 Bypass, Ste. 100, Waxahachie, TX 75165 | 2019-02-11 |
| 1376026807 | Lyndsey Jean May | Occupational Therapy Assistant | 3650 S.interstate 35-e, Waxahachie, TX 75165 | 2018-09-11 |
| Find all providers in zip 75165 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548680358 | Ashley Nicole Pirisino | Family Medicine | 1700 N Highway 77 Ste 210, Waxahachie, TX 75165-7832 | 2014-04-18 |
| 1174861066 | Advantage Medical Clinic | Family Medicine | 1102 Solon Place Way, Suite 1, Waxahachie, TX 75165-5038 | 2013-01-28 |
| 1336434125 | Jesus Trejo | Family Medicine | 2460 North Ih 35e, Suite 100, Waxahachie, TX 75165 | 2011-06-09 |
| 1730400854 | Jane Evelyn Lee | Family Medicine | 2460 North Ih 35, Professional Plaza 1, Suite 100, Waxahachie, TX 75165 | 2010-06-14 |
| 1245453166 | Kamran Bhatti | Family Medicine | 2400 N I 35, Waxahachie, TX 75165-5240 | 2007-04-10 |
| 1568553139 | Ramon Paul Kare | Family Medicine | 120 S. Grand Suite #2, Waxahachie, TX 75165 | 2006-09-27 |
| 1003911959 | Richard Dana Redington | Family Medicine | 1410 W Jefferson St, Waxahachie, TX 75165-2232 | 2006-09-14 |
| 1982610408 | James W Pickens | Family Medicine | 1305 W Jefferson, Suite 110, Waxahachie, TX 75165 | 2006-08-01 |
| 1851345391 | Natalia J Southerland | Family Medicine | 206 Ymca Dr Ste 103, Waxahachie, TX 75165-5244 | 2006-05-20 |
| 1376107300 | Martha Elaine Moran | Family Medicine | 120 S Grand Ave Ste 2, Waxahachie, TX 75165-2273 | 2019-04-25 |
| Find all providers in WAXAHACHIE | ||||
| City | WAXAHACHIE |
| Zip Code | 75165 |
Please comment or provide details below to improve the information on DR. CHRISTOPHER MICHAEL BROADWAY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.