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BARRY BROADNAX JR.
NPI 1336029776
Student in an Organized Health Care Education/Training Program in Washington, DC

Active since September 05, 2025
106 IRVING ST NW STE 4200, WASHINGTON, DC 20010(202) 877-2200 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Barry Broadnax Jr. NPPES

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

BARRY BROADNAX JR. (NPI 1336029776) is an individual student in an organized health care education/training program in Washington, District Of Columbia and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1336029776
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBARRY BROADNAX JR.
Location Address106 IRVING ST NW STE 4200Washington, DC 20010-2972
Mailing Address511 Gresham Pl NwWashington, DC 20059-1010 · (276) 806-5971
Phone(202) 877-2200
Sole ProprietorYes
Enumeration DateSeptember 5, 2025
NPPES CertifiedAugust 25, 2025
✔ NPI 1336029776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
106 IRVING ST NW STE 4200, Washington, DC 20010
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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 Barry Broadnax's NPI number?

The NPI number for Barry Broadnax is 1336029776. It was assigned to this individual provider in the NPPES registry on September 5, 2025.

Where is Barry Broadnax located?

Barry Broadnax practices at 106 Irving St NW Ste 4200, Washington, DC 20010. The listed phone number is (202) 877-2200.

What is Barry Broadnax's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Barry Broadnax was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.