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Broderick Webster, LPC
NPI 1124897996 · Mental Health Counselor · Bolivar, TN
Broderick Webster, LPC is a Mental Health Counselor provider in Bolivar, TN (NPI 1124897996).
Provider details
- NPI number
- 1124897996
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(51/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
793 Tennessee St
Bolivar, TN 38008-2441
Phone: (731) 228-9068
Fax: (901) 425-9773
Approximate (ZIP-level) locationGet directions
Mailing address
844 Sheridan St
Memphis, TN 38107-4611
Registry dates
- Enumerated
- 2023-12-21
- Last updated
- 2024-07-09
- Certified
- 2024-07-09
Frequently asked questions
- What is Broderick Webster's NPI number?
- Broderick Webster's National Provider Identifier (NPI) is 1124897996, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Broderick Webster's specialty?
- Broderick Webster is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Broderick Webster located?
- Broderick Webster's practice location on file with NPPES is 793 Tennessee St, Bolivar, TN 38008-2441.
- What is Broderick Webster's phone number?
- The practice phone number listed in the NPPES registry for Broderick Webster is (731) 228-9068.
- Is Broderick Webster's NPI active?
- Yes — Broderick Webster's NPI (1124897996) is active in the NPPES registry as of the last update on 2024-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.