JORDAN ALLISON BROADWAY
NPI 1174151575
Student in an Organized Health Care Education/Training Program in Durham, NC
About Jordan Allison Broadway NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORDAN ALLISON BROADWAY (NPI 1174151575) is an individual student in an organized health care education/training program in Durham, North Carolina and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of University Of Utah School Of Medicine (2020).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jordan Allison Broadway is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Duke University Hospital
Acute Care Hospitals · Durham, NCDuke Regional Hospital
Acute Care Hospitals · Durham, NCFrequently 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 Jordan Broadway's NPI number?
The NPI number for Jordan Broadway is 1174151575. It was assigned to this individual provider in the NPPES registry on March 31, 2020.
Where is Jordan Broadway located?
Jordan Broadway practices at 2213 Elba Street Dumc 3837 Room 272A, Durham, NC 27710. The listed phone number is (919) 684-8785.
What is Jordan Broadway's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Jordan Broadway enrolled in Medicare?
Yes. Jordan Broadway is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Jordan Broadway affiliated with any hospitals?
According to CMS data, Jordan Broadway is affiliated with Duke University Hospital and Duke Regional Hospital.
When was this NPI record last updated?
The NPPES record for Jordan Broadway was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Jordan Allison Broadway · NPI 1174151575
Student in an Organized Health Care Education/Training Program provider in Durham, North Carolina. Individual provider, active in the CMS NPPES registry since March 31, 2020.
## Identity
- **NPI:** 1174151575 (Entity type: Individual)
- **Enumerated:** March 31, 2020
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 2213 ELBA STREET DUMC 3837 ROOM 272A, Durham, NC 27710-0001
- **Phone:** (919) 684-8785 · **Fax:** (919) 684-2290
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of Utah School Of Medicine, class of 2020
## Record status
- **NPPES last updated:** July 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1174151575) · Data from the CMS NPPES public registry.