Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MALCOLM L BROADNAX
ActiveMALCOLM L BROADNAX is a Addiction (Substance Use Disorder) Counselor healthcare provider located in NOTTINGHAM, Maryland. NPI 1457193278 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · NOTTINGHAM, MD
Registration Details
- NPI Number
- 1457193278
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 11, 2024 (2.1561881415321 yrs)
- Last Updated
- Jun 11, 2025
- Licenses
-
LGP14898 (MD)LCA3486 (MD)
Practice Information
- Address
-
4412 COLE FARM RDNOTTINGHAM, MD, 212362961Browse MD providers · Browse ZIP 21236
- Phone
- 4435280822
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Other Addiction (Substance Use Disorder) Counselor Providers in NOTTINGHAM, MD
| Name | Credential | NPI |
|---|---|---|
| ASHLEY JOHNSON | LCADC | 1265231757 |
| ZOE WALKER | — | 1902784291 |
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.