IndividualActive
John Broderick-Cantwell, M.D.
NPI 1760493365 · Child & Adolescent Psychiatry Physician · Daphne, AL
Provider details
- NPI number
- 1760493365
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 28950 (AL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
7101 US Highway 90 Ste 103
Daphne, AL 36526-9510
Phone: (251) 517-5800
Fax: (256) 429-9411
Approximate (ZIP-level) locationGet directions
Mailing address
600 Sun Temple Dr
Madison, AL 35758-8643
Registry dates
- Enumerated
- 2006-08-10
- Last updated
- 2024-02-05
- Certified
- 2024-02-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.