DR. CHARLES S. BROADFIELD PH.D NPI 1740215201

NPI Information

NPI: 1740215201
Provider Name: DR. CHARLES S. BROADFIELD, PH.D
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
5750 CHESAPEAKE BLVD
STE 105
NORFOLK, VA
ZIP 23513
Phone: (757) 853-1409
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DR. Charles S. Broadfield, PH.D is an addiction (substance use disorder) counselor in Norfolk, VA. DR. Charles S. Broadfield, PH.D NPI is 1740215201. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5750 CHESAPEAKE BLVD
STE 105
NORFOLK, VA
ZIP 23513-325
Phone: (757) 853-1409
Fax: (757) 853-0825

The enumeration date for this NPI number is 7/12/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	NAADAC CERT #013537	VIRGINIA	Yes
2	106H00000X	Marriage & Family Therapist		0717000492	VIRGINIA	X
3	101YP2500X	Counselor	Professional	0701000320	VIRGINIA	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	80176	OTHER		SENTARA OPTIMA
2	62-91986	OTHER		UNITED BEHAV HEALTH
3	212164-312164	OTHER		MDIPA
4	170089	OTHER		COMPSY
5	040416	OTHER	VIRGINIA	BC/BS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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