Jordan Broadway
NPI 1174151575 · Student in an Organized Health Care Education/Training Program · Durham, NC
Enrolled with Medicare as Practitioner - Psychiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jordan Broadway is a Student in an Organized Health Care Education/Training Program provider in Durham, NC (NPI 1174151575).
Provider details
- NPI number
- 1174151575
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
Mailing address
Registry dates
- Enumerated
- 2020-03-31
- Last updated
- 2025-07-23
- Certified
- 2025-07-23
Frequently asked questions
- What is Jordan Broadway's NPI number?
- Jordan Broadway's National Provider Identifier (NPI) is 1174151575, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jordan Broadway's specialty?
- Jordan Broadway is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Jordan Broadway located?
- Jordan Broadway's practice location on file with NPPES is 2213 Elba Street Dumc 3837 Room 272a, Durham, NC 27710-0001.
- What is Jordan Broadway's phone number?
- The practice phone number listed in the NPPES registry for Jordan Broadway is (919) 684-8785.
- Does Jordan Broadway accept Medicare?
- Jordan Broadway is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jordan Broadway's NPI active?
- Yes — Jordan Broadway's NPI (1174151575) is active in the NPPES registry as of the last update on 2025-07-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.