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

Q: 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.

Q: What is Emmett Broxson's specialty?

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

Q: 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.

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: August 09, 2026.

On this page

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

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Other Identifiers 3

Medicaid0828715OH

Other0828715OH · Bcmh

Other35056878ND · License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

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.