Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TRAVIS DEONTA BROADDUS
ActiveMR. TRAVIS DEONTA BROADDUS is a Case Manager healthcare provider located in COLUMBIA, Maryland. NPI 1851015077 is currently active in the NPPES registry. Verify at CMS.
Case Manager · COLUMBIA, MD
Registration Details
- NPI Number
- 1851015077
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 30, 2022 (3.6949412145103 yrs)
- Last Updated
- May 8, 2023
Practice Information
- Address
-
7135 MINSTREL WAY STE 204-M2COLUMBIA, MD, 210455255Browse MD providers · Browse ZIP 21045
- Phone
- 3013570038
- Primary Specialty
-
Case Manager
171M00000X
- Additional Specialty
- Clinical Social Worker
- Additional Specialty
- Behavior Technician
- Additional Specialty
- Case Manager
Other Case Manager Providers in COLUMBIA, MD
| Name | Credential | NPI |
|---|---|---|
| GALEN ENOW | — | 1093151680 |
| EVELYNE AKUMSI | — | 1245678911 |
| KRISTEN MAKI | RN | 1619479680 |
| EMILIE CARROLL | — | 1306468236 |
| MICHEL SHONINKEH SAWYER | — | 1982312302 |
| MR. NAZARUS NKONGJOWH | — | 1376376947 |
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.