Active NPI
Christopher Michael Broadway, M.D.
- Family Medicine Physician
- Waxahachie, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- P8016
- Practice address
- 1700 N Highway 77 Ste 210
Waxahachie, TX 75165-7832 - Phone
- (972) 937-1210
- Fax
- (972) 937-0243
- NPI assigned
- Jul 8, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | P8016 | TX | Primary |
Addresses
Primary practice location
1700 N Highway 77 Ste 210
Waxahachie, TX 75165-7832
Mailing address
1700 N Highway 77 Ste 210
Waxahachie, TX 75165-7832
Phone (972) 937-1210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8DZ581 | Other | TX | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Green Oaks Physical Therapy Limited Partnership
Practice addresses (Care Compare)
1700 N Hwy 77
Suite 210
Waxahachie, TX 75165-7832
Phone (972) 937-1210
6116 Lake Worth Blvd
Lake Worth, TX 76135-3703
Phone (817) 984-3260
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medhealth | Family Medicine | Current | Accepting new patients |
| Medhealth | Current | Accepting new patients | |
| Alegent Creighton Clinic | Family Medicine | Past | Accepting new patients |
| Advanced Pain & Rehabilitation Association PLLC | Past | Accepting new patients | |
| Creighton University | Family Medicine | Past | Accepting new patients |
| Creighton University | Past | Accepting new patients | |
| Alegent Creighton Clinic | Family Medicine | Past | Accepting new patients |
Locations
3400 W Wheatland Rd
Ste 360
Dallas, TX 75237
3400 W Wheatland Rd
Dallas, TX 75237
5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691
1700 N Highway 77
Ste 210
Waxahachie, TX 75165
Phone (817) 453-3500
1410 W Jefferson St
Waxahachie, TX 75165
Phone (972) 937-1210
613 S Highway 78
Wylie, TX 75098
Phone (972) 941-8700
Interoperability endpoints
- cbroadway14305@dm.mhd.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Wylie, TX
- NPI 1215404637
-
dba CHI Health Clinic
- Family Medicine Physician
- Council Bluffs, IA
- NPI 1598811069
-
dba Creighton Medical Associates
- Allergy & Immunology (Internal Medicine) Physician
- Omaha, NE
- NPI 1295777225
Family Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baylor Scott & White Medical Center - Waxahachie
- General Acute Care Hospital
- Waxahachie, TX
- NPI 1265430177
-
dba Baylor Institute for Rehabilitation
- Rehabilitation Hospital
- Dallas, TX
- NPI 1538465901
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633478400000",
"number": "1639308836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 N HIGHWAY 77 STE 210",
"city": "WAXAHACHIE",
"state": "TX",
"postal_code": "751657832",
"telephone_number": "972-937-1210",
"fax_number": "972-937-0243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 N HIGHWAY 77 STE 210",
"city": "WAXAHACHIE",
"state": "TX",
"postal_code": "751657832",
"telephone_number": "972-937-1210",
"fax_number": "972-937-0243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROADWAY",
"first_name": "CHRISTOPHER",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-08",
"last_updated": "2021-10-06",
"certification_date": "2021-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "P8016",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "8DZ581",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waxahachie, TX
- Claire Marie Bridgford, PT
- Bristol Advanced Illness Management - North Central Texas PLLC
- Bristol Hospice - Pathways LLC (Bristol Hospice - North Central Texas)
- Jessica Bristow, PT, DPT
- Trisha Danielle Broadright, LPC
- Brookdale Senior Living Communities, Inc. (Sterling House of Waxahachie)
- Tonya Brooks
- Alexandria Brown, REGISTERED NURSE
- Jason P Brown, M.D.
- Kimberly Brown, PCD(DONA)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.