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DR. WALTER G BROADNAX M.D.
NPI 1003940032
Psychiatry & Neurology - Pain Medicine in Cincinnati, OH

Active since March 14, 2007
5505 FAIR LN, CINCINNATI, OH 45227(513) 421-7246(513) 421-7796 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Walter G Broadnax M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WALTER G BROADNAX M.D. (NPI 1003940032) is an individual pain medicine provider in Cincinnati, Ohio, licensed in Ohio (35060685) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1003940032
Entity TypeIndividualMale
Primary Taxonomy2084P2900X
Provider Legal NameDR. WALTER G BROADNAXCredential: M.D.
Location Address5505 FAIR LNCincinnati, OH 45227-3401
Mailing Address1220 Paddock Hills AveCincinnati, OH 45229-1218 · (513) 421-7246 · Fax (513) 421-7796
Phone(513) 421-7246
Fax(513) 421-7796
Sole ProprietorYes
Enumeration DateMarch 14, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1003940032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084P2900X
License✔ Licensed in OH · 35060685
Definition
A neurologist, child neurologists or psychiatrist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
5505 FAIR LN, Cincinnati, OH 45227
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Other Identifiers 3

Medicare ID-Type Unspecified0681024OH · Medicare
Medicaid0860917OH
Medicare UPINE96118OH

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Walter Broadnax's NPI number?

The NPI number for Walter Broadnax is 1003940032. It was assigned to this individual provider in the NPPES registry on March 14, 2007.

Where is Walter Broadnax located?

Walter Broadnax practices at 5505 Fair Ln, Cincinnati, OH 45227. The listed phone number is (513) 421-7246.

What is Walter Broadnax's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Pain Medicine, with taxonomy code 2084P2900X.

When was this NPI record last updated?

The NPPES record for Walter Broadnax was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.