MARC S. BROADWAY B.A., SAA
NPI 1043342496
Counselor - Addiction (Substance Use Disorder) in Farmington, NM

Active since March 12, 2007
2011 TROY KING RD TRLR 10, FARMINGTON, NM 87401(505) 566-0336 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Marc S. Broadway B.a., Saa NPPES

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

MARC S. BROADWAY B.A., SAA (NPI 1043342496) is an individual addiction (substance use disorder) provider in Farmington, New Mexico, licensed in New Mexico (4455) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1043342496
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMARC S. BROADWAYCredential: B.A., SAA
Location Address2011 TROY KING RD TRLR 10Farmington, NM 87401-3123
Mailing Address2011 Troy King Rd Trlr 10Farmington, NM 87401-3123 · (505) 566-0336
Sole ProprietorYes
Enumeration DateMarch 12, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1043342496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in NM · 4455
2011 TROY KING RD TRLR 10, Farmington, NM 87401

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 Marc Broadway's NPI number?

The NPI number for Marc Broadway is 1043342496. It was assigned to this individual provider in the NPPES registry on March 12, 2007.

Where is Marc Broadway located?

Marc Broadway practices at 2011 Troy King Rd Trlr 10, Farmington, NM 87401. The listed phone number is (505) 566-0336.

What is Marc Broadway's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Marc Broadway was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.