DALLAS BROADWAY M.D. – NPI #1366646416
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Health Care Provider Taxonomy Code for Radiology

DALLAS BROADWAY is a radiologist located in NEW YORK, NY. NPPES has assigned the NPI number 1366646416 to DALLAS BROADWAY on June 13, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was last updated on May 28, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DALLAS BROADWAY below.

NPI Profile for
DALLAS BROADWAY

NPI Number
1366646416
Enumeration Date

(about 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
DALLAS BROADWAY
Credentials
M.D.
Primary location
622 W 168TH ST, NEW YORK, NY 10032
NEW YORK, NY 10032
Phone: (877) 426-5637 Fax:
Mailing address
1010 NW LOOP 410 STE 100B
SAN ANTONIO, TX 78213-2220
Phone: (210) 465-7015 Fax: (210) 465-7014
Sole Proprietor
Yes
Updated
Certification Date
May 28, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)		 NY 191294
261QA1903X
- Clinic/Center / Ambulatory Surgical		 NY 249640
2085R0204X
- Radiology / Vascular & Interventional Radiology		 TX P8223

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.