CLAY BURT BROADWELL
NPI 1225868797
Community/Behavioral Health in Bismarck, ND

Q: What is Clay Broadwell's NPI number?

The NPI number for Clay Broadwell is 1225868797. It was assigned to this individual provider in the NPPES registry on August 7, 2024.

Q: What is Clay Broadwell's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Q: When was this NPI record last updated?

The NPPES record for Clay Broadwell was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 07, 2024

2130 S 12TH ST APT 137, BISMARCK, ND 58504(701) 840-1506 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Clay Burt Broadwell NPPES

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

CLAY BURT BROADWELL (NPI 1225868797) is an individual community/behavioral health provider in Bismarck, North Dakota and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1225868797

Entity TypeIndividualMale

Primary Taxonomy251S00000X

Provider Legal NameCLAY BURT BROADWELL

Location Address2130 S 12TH ST APT 137Bismarck, ND 58504-3144

Mailing Address2130 S 12th St Apt 137Bismarck, ND 58504-3144 · (701) 840-1506

Phone(701) 840-1506

Sole ProprietorYes

Enumeration DateAugust 7, 2024

NPPES CertifiedAugust 7, 2024

✔ NPI 1225868797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

2130 S 12TH ST APT 137, Bismarck, ND 58504

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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 Clay Broadwell's NPI number?

The NPI number for Clay Broadwell is 1225868797. It was assigned to this individual provider in the NPPES registry on August 7, 2024.

Where is Clay Broadwell located?

Clay Broadwell practices at 2130 S 12th St Apt 137, Bismarck, ND 58504. The listed phone number is (701) 840-1506.

What is Clay Broadwell's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Clay Broadwell was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.