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Deactivated NPI 1992969059 Deactivated / Inactive NPI Male Practitioner

Dr. David Louis Broadnax , MD

Internal Medicine • Hackensack, NJ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. David Broadnax has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 17, 2008
NPI Deactivation Date July 17, 2008
Total Practice Duration ~1 Years of Practice (2008 – 2008)

Professional Overview & Biography Verified Profile Summary

Dr. David Broadnax, MD was a registered Internal Medicine practicing in Hackensack, NJ. Throughout an active medical career spanning 1 years, Dr. Broadnax provided care at the practice location at 386 SECOND STREET until profile deactivation on 2008-07-17.

Practice Location & Contact Primary Location

Practice Address

386 Second Street

Hackensack, NJ 07601

Telephone 2013421874
Fax 2016704706

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Hackensack, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.8 Yrs
State Avg: 30.1 Yrs
Regional Practice Density
104 Specialists

Practicing in Hackensack, NJ (4957 Statewide)

Telehealth Adoption Rate
22.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License NJ 25MAO1838300

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 17, 2008

Record deactivated on July 17, 2008

NPI Profile Active July 17, 2008

NPI status registered as active in NPPES database

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Updated Practice Location July 17, 2008

Registered at 386 SECOND STREET, HACKENSACK, NJ 07601 (Tel: 2013421874)

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Updated Business Mailing Address July 17, 2008

Registered at 386 SECOND STREET, HACKENSACK, NJ 07601 (Tel: 2013421874)

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Provider Name / Credentials Updated July 17, 2008

Recorded as DAVID BROADNAX, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2008

Internal Medicine (License #25MAO1838300 in NJ)

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Initial NPI Registration & Enumeration July 17, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1992969059
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 17, 2008
Last Update: July 17, 2008
Deactivation Date: July 17, 2008

Mailing Address

386 Second Street

Hackensack, NJ 07601

Phone: 2013421874

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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