DR. JOHN JOSEPH BRODERICK-CANTWELL M.D.
NPI 1760493365
Psychiatry & Neurology - Child & Adolescent Psychiatry in Daphne, AL

Q: What is John Broderick-cantwell's NPI number?

The NPI number for John Broderick-cantwell is 1760493365. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Q: What is John Broderick-cantwell's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Active since August 10, 2006PECOS EnrolledAccepts Medicare Assignment

7101 US HIGHWAY 90 STE 103, DAPHNE, AL 36526(251) 517-5800(256) 429-9411 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 5, 2024, Mar 7, 2023, Jun 11, 2019 and 1 more (4 updates tracked since 2018).

On this page

About Dr. John Joseph Broderick-cantwell M.d. NPPES

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

DR. JOHN JOSEPH BRODERICK-CANTWELL M.D. (NPI 1760493365) is an individual child & adolescent psychiatry provider in Daphne, Alabama, licensed in Alabama (28950) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Michigan Medical School (1987).

NPPES Registry Identity

NPI1760493365

Entity TypeIndividualMale

Primary Taxonomy2084P0804X

Provider Legal NameDR. JOHN JOSEPH BRODERICK-CANTWELLCredential: M.D.

Location Address7101 US HIGHWAY 90 STE 103Daphne, AL 36526-9510

Mailing Address600 Sun Temple DrMadison, AL 35758-8643 · (256) 975-4291 · Fax (256) 288-3334

Phone(251) 517-5800

Fax(256) 429-9411

Sole ProprietorNo

Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1987

Enumeration DateAugust 10, 2006

Last NPPES UpdateFebruary 5, 20244 updates tracked since enumeration

NPPES CertifiedFebruary 5, 2024

✔ NPI 1760493365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in AL · 28950

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 28950 (AL)

7101 US HIGHWAY 90 STE 103, Daphne, AL 36526

Open in Google Maps ↗

Other Identifiers 5

Other28903SC · Medical License

MedicaidQ48343SC

Medicaid1353044CO

OtherDR-35304CO · Medical License

Other28950AL · Medical License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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

Dr. John Joseph Broderick-cantwell M.d. 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.

PECOS PAC ID4587665203

PECOS Enrollment IDI20081001000469

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

109 services42 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

77 services38 patients

Testing for presence of drug, read by direct observation 80305

Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.

66 services32 patients

Psychotherapy with evaluation and management visit, 45 minutes 90836

Psychotherapy with evaluation and management is a 45-minute session where a healthcare provider discusses your mental and emotional health. They assess your current state, manage any issues, and help you develop coping strategies. This service aims to improve your overall well-being.

55 services30 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

37 services19 patients

Psychotherapy with evaluation and management visit, 1 hour 90838

Psychotherapy with evaluation and management is a one-hour session where a mental health professional assesses your psychological state and discusses treatment options. This process aims to understand your feelings, thoughts, and behaviors to improve your overall well-being.

25 services19 patients

Leave this field empty

Other Providers at the Same Location NPPES 7

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

MARY CAGLE HARP LICSW

Social Worker