MICHAEL D BROADWELL (PSY.D) – Psychologist, NPI 1053645119

MICHAEL D BROADWELL (PSY.D) is a healthcare provider. based in Rochester, Minnesota. specializing in Psychologist. They hold the professional credentials PSY.D. They hold a License No. LP6869 (MN). The NPI Number for MICHAEL D BROADWELL (PSY.D) is 1053645119

Main info

Male
Name
MICHAEL D BROADWELL (PSY.D)
NPI
1053645119
Phone
(507) 516-0227
Address
3535 40TH AVE NW STE 210
Enumeration Date
22 September 2009
Last Update Date
12 December 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:16State licenses:1Digital endpointsOther names

Provider Addresses for MICHAEL D BROADWELL (PSY.D)

  • 3535 40TH AVE NW STE 210

    ROCHESTER, MN 559011769

    Phone: (507) 516-0227

    Fax: (507) 516-0228

    Type: Mailing

  • 2501, West 22nd Street, Sioux Falls, Minnehaha County, South Dakota, 57105, United States

    SIOUX FALLS, SD 571051305

    Phone: (605) 336-3230

    Type: Location

  • 2405, Comstock Lane North, Plymouth, Hennepin County, Minnesota, 55447, United States

    PLYMOUTH, MN 554472304

    Phone: (612) 695-6815

    Type: Mailing

  • 550 KUNEHI ST

    APT 206

    KAPOLEI, HI 967072069

    Phone: (808) 674-6641

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55901)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for MICHAEL D BROADWELL (PSY.D)?
MICHAEL D BROADWELL (PSY.D) — NPI 1053645119 — is the standard way to identify this listing.
Is MICHAEL D BROADWELL (PSY.D) listed as active for patients and plans?
The listing shows MICHAEL D BROADWELL (PSY.D) as active in the NPI system.
What taxonomy line describes MICHAEL D BROADWELL (PSY.D)?
For research purposes, treat MICHAEL D BROADWELL (PSY.D) as Psychologist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect MICHAEL D BROADWELL (PSY.D) on a map?
Expect Rochester, Minnesota as a primary anchor for MICHAEL D BROADWELL (PSY.D) unless the record lists multiple sites.
Is the information about MICHAEL D BROADWELL (PSY.D) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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