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BRODERICK NYKAZA
NPI 1396456307
Physician Assistant in Goldsboro, NC

Active since December 09, 2022
2803 MEDICAL CAMPUS DR. SEYMOUR JOHNSON AFB, GOLDSBORO, NC 27531(919) 722-1802 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 29, 2026, Dec 9, 2022 (2 updates tracked since 2022).

About Broderick Nykaza NPPES

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

BRODERICK NYKAZA (NPI 1396456307) is an individual physician assistant in Goldsboro, North Carolina, licensed in North Carolina (0010-13783) and active in the NPI registry since December 2022. He maintains a secondary practice location in Phoenix.

NPPES Registry Identity

NPI1396456307
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBRODERICK NYKAZA
Location Address2803 MEDICAL CAMPUS DR. SEYMOUR JOHNSON AFBGoldsboro, NC 27531
Mailing Address2803 Medical Campus Dr. Seymour Johnson AfbGoldsboro, NC 27531 · (919) 722-1802
Phone(919) 722-1802
Sole ProprietorNo
Enumeration DateDecember 9, 2022
Last NPPES UpdateJanuary 29, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2026
✔ NPI 1396456307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 0010-13783
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2803 MEDICAL CAMPUS DR. SEYMOUR JOHNSON AFB, Goldsboro, NC 27531
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Secondary Practice Location 1

Location 1435 N 5th StPhoenix, AZ 85004-2157 · Phone (480) 415-0561

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 Broderick Nykaza's NPI number?

The NPI number for Broderick Nykaza is 1396456307. It was assigned to this individual provider in the NPPES registry on December 9, 2022.

Where is Broderick Nykaza located?

Broderick Nykaza practices at 2803 Medical Campus Dr. Seymour Johnson Afb, Goldsboro, NC 27531. The listed phone number is (919) 722-1802.

What is Broderick Nykaza's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Broderick Nykaza was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.