IndividualActive
Ethan Broadhead, RN
NPI 1760326961 · Registered Nurse · Oakland, CA
Ethan Broadhead, RN is a Registered Nurse provider in Oakland, CA (NPI 1760326961).
Provider details
- NPI number
- 1760326961
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- License
- 1-183115 (AL)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
3600 Broadway
Oakland, CA 94611-5730
Phone: (510) 752-1000
Street-level locationGet directions
Mailing address
8103 Bagley Rd
Dora, AL 35062-1931
Registry dates
- Enumerated
- 2026-04-17
- Last updated
- 2026-04-17
- Certified
- 2026-04-17
Frequently asked questions
- What is Ethan Broadhead's NPI number?
- Ethan Broadhead's National Provider Identifier (NPI) is 1760326961, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ethan Broadhead's specialty?
- Ethan Broadhead is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).
- Where is Ethan Broadhead located?
- Ethan Broadhead's practice location on file with NPPES is 3600 Broadway, Oakland, CA 94611-5730.
- What is Ethan Broadhead's phone number?
- The practice phone number listed in the NPPES registry for Ethan Broadhead is (510) 752-1000.
- Is Ethan Broadhead's NPI active?
- Yes — Ethan Broadhead's NPI (1760326961) is active in the NPPES registry as of the last update on 2026-04-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.