Dr. Derrick Maurice Broadaway, DDS
Dr. Derrick Maurice Broadaway is a General Practice Dentistry provider (Dentist) practicing in Hampton, VA, registered in the NPPES registry with NPI 1336292952 since 2007. The credential DDS stands for Doctor of Dental Surgery. Practices at Hampton Roads Family Dental (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1336292952 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Derrick Maurice Broadaway |
| Credential | DDS |
| Sex | Male |
| Practice address | 3709 KECOUGHTAN RD, Hampton, VA, 23669 |
| Phone | 7577228507 |
| Fax | 7576908765 |
| Enumeration date | 2007-01-18 |
| Last updated in NPPES | 2023-11-27 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | 0401007977 | VA |
DDS — Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106546 | Medicaid | VI | — |
Copy-ready billing details
Provider: Derrick Broadaway, DDS NPI: 1336292952 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 3709 KECOUGHTAN RD, Hampton, VA, 23669
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1851495204 | Ceceil Gallop | Individual | Dentist | Hampton, VA |
| 1932735305 | Hampton Roads Family Dental | Organization | General Practice Dentistry | Hampton, VA |
Verify this record
Cross-check NPI 1336292952 against the authoritative CMS record: view Dr. Derrick Maurice Broadaway on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Is NPI 1336292952 active?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-11-27.