Broadway Procedure Center

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

BROADWAY PROCEDURE CENTER

Practice address

4834 E Broadway Blvd
Tucson, AZ 85711-3610

Phone

(520) 800-6330

NPI assigned

Sep 2, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Michael Minckler, MD

Title

Sole Member

Phone

(520) 800-6330

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1756771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1881574861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4834 E BROADWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113610",
            "telephone_number": "520-800-6330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4834 E BROADWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113610",
            "telephone_number": "520-800-6330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY PROCEDURE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-02",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A",
        "authorized_official_last_name": "MINCKLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "520-800-6330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Britt
• Zachary Adam Britt
• Anna Britton
• Kasey Brixius, RD
• Russell L Broadhead, H.I.S.
• Broadway Smiles Dentistry and Orthodontics, LLP
• Ashley Elizabeth Brock, MED, BCBA
• Justin M Brock, PHARM D
• Kate Eleni Brock, MD
• Keith Duane Brock

• Interventional Pain Medicine Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Interventional Pain Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.