Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CLAY BURT BROADWELL
Active Sole ProprietorCLAY BURT BROADWELL is a Community/Behavioral Health healthcare provider located in BISMARCK, North Dakota. NPI 1225868797 is currently active in the NPPES registry. Verify at CMS.
Community/Behavioral Health · BISMARCK, ND
Registration Details
- NPI Number
- 1225868797
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 7, 2024 (2.0495606275055 yrs)
- Last Updated
- Aug 7, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
2130 S 12TH ST APT 137BISMARCK, ND, 585043144Browse ND providers · Browse ZIP 58504
- Phone
- 7018401506
- Primary Specialty
-
Community/Behavioral Health
251S00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.