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DR. EMMETT H BROXSON JR. MD
NPI 1013023035
Pediatrics - Pediatric Hematology-Oncology in Dayton, OH

Active since August 22, 2006PECOS Enrolled
1 CHILDRENS PLZ, DAYTON, OH 45404(937) 641-3111(937) 641-5885 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Emmett H Broxson Jr. Md NPPES

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

DR. EMMETT H BROXSON JR. MD (NPI 1013023035) is an individual pediatric hematology-oncology provider in Dayton, Ohio, licensed in Ohio (35056878) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013023035
Entity TypeIndividualMale
Primary Taxonomy2080P0207X
Provider Legal NameDR. EMMETT H BROXSON JR.Credential: MD
Location Address1 CHILDRENS PLZDayton, OH 45404-1898
Mailing Address7570 Deep Woods CtSpringboro, OH 45066-8570 · (937) 748-4534 · Fax (937) 641-5885
Phone(937) 641-3111
Fax(937) 641-5885
Sole ProprietorYes
Enumeration DateAugust 22, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1013023035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License✔ Licensed in OH · 35056878
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
1 CHILDRENS PLZ, Dayton, OH 45404
Open in Google Maps ↗

Other Identifiers 3

Medicaid0828715OH
Other0828715OH · Bcmh
Other35056878ND · License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Emmett H Broxson Jr. Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Emmett Broxson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bronson Methodist Hospital
188 mi
Hospitalist
601 JOHN STREET
Kalamazoo, MI 49007
  • Reassigned Medicare billing, Michigan enrollment
  • 1,133 clinicians in this Medicare group
NPI 1417961137 (269) 341-7654
Presbyterian Healthcare Services
1,114 mi
Rural
2100 MARTIN LUTHER KING JR BLVD
Clovis, NM 88101
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,331 clinicians in this Medicare group
NPI 1629053509 (505) 469-7577

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEMANTH SHIMOGA LINGADEVARU MD,MPH,FAAP
Pediatrics (Pediatric Critical Care Medicine)
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-3000
TANYA PAUL M.D
Pediatrics (Pediatric Emergency Medicine)
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-3600
NICOLE LYNNE-BENDT SCOTT
Physician Assistant
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-3600
CODY H MCMILLAN
Physician Assistant
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-3000
TANIA MONTENEGRO MS, MPH
Genetic Counselor, MS
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-5923
MS. FAITH ANGELA CALLIF-DALEY M.S.
Genetic Counselor, MS
1 CHILDRENS PLZ, DAYTON CHILDREN'S MEDICAL CENTER
DAYTON, OH 45404
Montgomery County (937) 641-5645
MISS SAUNDRA D ZERBE FNP
Nurse Practitioner (Family)
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-3600
DR. RAMAKRISHNA MUTYALA MD
Pediatrics (Pediatric Gastroenterology)
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-4000

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 Emmett Broxson's NPI number?

The NPI number for Emmett Broxson is 1013023035. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Where is Emmett Broxson located?

Emmett Broxson practices at 1 Childrens Plz, Dayton, OH 45404. The listed phone number is (937) 641-3111.

What is Emmett Broxson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Emmett Broxson enrolled in Medicare?

Yes. Emmett Broxson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Emmett Broxson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emmett Broxson reassigns Medicare benefits to 2 organizations: Bronson Methodist Hospital (Kalamazoo, MI) and Presbyterian Healthcare Services (Clovis, NM). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Emmett Broxson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Emmett Broxson was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.