What is Derrick Broadaway's NPI number?

Derrick Broadaway's National Provider Identifier (NPI) is 1336292952, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Derrick Broadaway's specialty?

Derrick Broadaway is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).

Where is Derrick Broadaway located?

Derrick Broadaway's practice location on file with NPPES is 3709 Kecoughtan Rd, Hampton, VA 23669-4405.

What is Derrick Broadaway's phone number?

The practice phone number listed in the NPPES registry for Derrick Broadaway is (757) 722-8507.

Is Derrick Broadaway's NPI active?

Yes — Derrick Broadaway's NPI (1336292952) is active in the NPPES registry as of the last update on 2023-11-27.

IndividualActive

Derrick Broadaway, DDS

NPI 1336292952 · General Practice Dentistry · Hampton, VA

Derrick Broadaway, DDS is a General Practice Dentistry provider in Hampton, VA (NPI 1336292952).

Provider details

NPI number: 1336292952
Entity type: Individual
Primary specialty: General Practice DentistryDental Providers
Credential: DDS
Sex: Male
Sole proprietor: No
License: 0401007977 (VA)

Specialties & taxonomies

General Practice DentistryPrimary1223G0001XLicense 0401007977 (VA)
Dental Providers

Profile Score

Detailed profile(90/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
100% 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

3709 Kecoughtan Rd

Hampton, VA 23669-4405

Phone: (757) 722-8507

Fax: (757) 690-8765

Street-level locationGet directions

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Mailing address