SUSAN BROADWAY R.N., N.P.
NPI 1154708956
Nurse Practitioner - Adult Health in Berkeley, CA

Q: What is Susan Broadway's NPI number?

The NPI number for Susan Broadway is 1154708956. It was assigned to this individual provider in the NPPES registry on April 30, 2015.

Q: What is Susan Broadway's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Susan Broadway was last updated on April 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 April 30, 2015

1 CYCLOTRON RD, MS26R0143, BERKELEY, CA 94720(510) 486-6951(510) 486-7192 Get Directions Write a Review

NPPES record last updated: April 30, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Susan Broadway R.n., N.p. NPPES

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

SUSAN BROADWAY R.N., N.P. (NPI 1154708956) is an individual adult health provider in Berkeley, California, licensed in California (332697) and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1154708956

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameSUSAN BROADWAYCredential: R.N., N.P.

Location Address1 CYCLOTRON RD, MS26R0143Berkeley, CA 94720-8099

Mailing Address1 Cyclotron Rd, Ms26r0143Berkeley, CA 94720-8099 · (510) 486-6951 · Fax (510) 486-7192

Phone(510) 486-6951

Fax(510) 486-7192

Sole ProprietorNo

Enumeration DateApril 30, 2015

✔ NPI 1154708956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in CA · 332697

Also ListedNurse Practitioner · Occupational HealthTaxonomy 363LX0106X · License 332697 (CA)

1 CYCLOTRON RD, Berkeley, CA 94720

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Other Providers at the Same Location NPPES 2

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

LAWRENCE BERKELEY NATIONAL LABORATORY

Preventive Medicine (Occupational Medicine)

1 CYCLOTRON RD
BERKELEY, CA 94720

Alameda County (510) 486-6266

MS. BECKY TSE

Nurse Practitioner (Adult Health)

1 CYCLOTRON RD
BERKELEY, CA 94720

Alameda County (510) 486-6266

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 Susan Broadway's NPI number?

The NPI number for Susan Broadway is 1154708956. It was assigned to this individual provider in the NPPES registry on April 30, 2015.

Where is Susan Broadway located?

Susan Broadway practices at 1 Cyclotron Rd Ms26r0143, Berkeley, CA 94720. The listed phone number is (510) 486-6951.

What is Susan Broadway's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Susan Broadway was last updated on April 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.