Alex E Broady, CDPT

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CO60140114 Issued in WA

Practice address

17300 SE 392ND Street
Auburn, WA 98092

Phone

(253) 804-8752

NPI assigned

Apr 16, 2013

Last updated

Apr 16, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366070400000",
    "number": "1053754416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17300 SE 392ND",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "98092",
            "telephone_number": "253-804-8752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17300 SE 392ND STREET",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "98092",
            "telephone_number": "253-804-8752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROADY",
        "first_name": "ALEX",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "CDPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-16",
        "last_updated": "2013-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO60140114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian J Crain OD
• Gloria Brim
• Kathryn Anne Brisbane, RD
• Helen Brislin-Johnson
• Erika L Broaden
• Peyton David Brock, DC
• Kristina Brockett, ATC
• Marissa Brooks
• Sunghyun Cho Brooks, MD
• Khoi Brookshire

• Addiction (Substance Use Disorder) Counselor in Auburn, WA
• Providers in Auburn, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.