Search › Maryland › 101YA0400X
Malcolm Broadnax
NPI 1457193278 · on the registry since 2024
Practice
- Address
- 4412 Cole Farm Rd
Nottingham, MD 21236 - Phone
- (443) 528-0822
- Organisation at this address
- Awake & Rooted Wellness & Recovery, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 101YM0800X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-06-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland