IZAH BROADUS
NPI 1144429168
Case Manager/Care Coordinator in Little Rock, AR

Q: What is Izah Broadus's NPI number?

The NPI number for Izah Broadus is 1144429168. It was assigned to this individual provider in the NPPES registry on July 11, 2007.

Q: What is Izah Broadus's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Izah Broadus was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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 July 11, 2007

2000 ALDERSGATE RD, LITTLE ROCK, AR 72205(501) 906-4250 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Izah Broadus NPPES

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

IZAH BROADUS (NPI 1144429168) is an individual case manager/care coordinator provider in Little Rock, Arkansas and active in the NPI registry since July 2007. He maintains a secondary practice location in Jonesboro.

NPPES Registry Identity

NPI1144429168

Entity TypeIndividualMale

Primary Taxonomy171M00000X

Provider Legal NameIZAH BROADUS

Location Address2000 ALDERSGATE RDLittle Rock, AR 72205-7018

Mailing Address1600 Aldersgate Rd Ste 200Little Rock, AR 72205-6676 · (501) 661-0720 · Fax (501) 325-7938

Phone(501) 906-4250

Sole ProprietorNo

Enumeration DateJuly 11, 2007

Last NPPES UpdateJanuary 7, 2025

NPPES CertifiedJanuary 7, 2025

✔ NPI 1144429168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

2000 ALDERSGATE RD, Little Rock, AR 72205

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Secondary Practice Location 1

Location 12707 Browns LnJonesboro, AR 72401-7213 · Phone (870) 972-4939 · Fax (870) 972-4911

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.

ANTHONY BROCK

Case Manager/Care Coordinator