BROADWAY PROCEDURE CENTER
NPI 1881574861
Pain Medicine - Interventional Pain Medicine in Tucson, AZ

Active since September 02, 2025
4834 E BROADWAY BLVD, TUCSON, AZ 85711(520) 800-6330 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Broadway Procedure Center NPPES

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

BROADWAY PROCEDURE CENTER (NPI 1881574861) is a healthcare organization registered as an interventional pain medicine in Tucson, Arizona and active in the NPI registry since September 2025. The organization lists Michael Minckler, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1881574861
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameBROADWAY PROCEDURE CENTER
Location Address4834 E BROADWAY BLVDTucson, AZ 85711-3610
Mailing Address4834 E Broadway BlvdTucson, AZ 85711-3610 · (520) 800-6330
Organization SubpartNo
Authorized OfficialMichael MincklerSole Member · (520) 800-6330
Enumeration DateSeptember 2, 2025
NPPES CertifiedSeptember 2, 2025
NPI 1881574861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
4834 E BROADWAY BLVD, Tucson, AZ 85711

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Family Medicine
4834 E BROADWAY BLVD
TUCSON, AZ 85711
Nurse Practitioner (Family)
4834 E BROADWAY BLVD
TUCSON, AZ 85711

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 Broadway Procedure Center's NPI number?

The NPI number for Broadway Procedure Center is 1881574861. It was assigned to this organization in the NPPES registry on September 2, 2025.

Where is Broadway Procedure Center located?

Broadway Procedure Center is located at 4834 E Broadway Blvd, Tucson, AZ 85711. The listed phone number is (520) 800-6330.

What is Broadway Procedure Center's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

When was this NPI record last updated?

The NPPES record for Broadway Procedure Center was last updated on September 2, 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.