Kevin J Broderick, DO
Family Medicine in East Bridgewater, Massachusetts
1013954759- Practice location
- 1 Compass Way, Suite 102, East Bridgewater, MA 02333-1465
- Phone
- 508-350-2100
- Fax
- 508-350-2314
- Last updated
- March 7, 2016
Kevin J Broderick is a Family Medicine based in East Bridgewater, MA. Kevin J Broderick practices in East Bridgewater, MA and has the professional credentials of DO. The NPI Number for Kevin J Broderick is 1013954759 and holds a License No. 204113 (MA). The current practice location address for Kevin J Broderick is 1 Compass Way, Suite 102, East Bridgewater, MA 02333-1465 and can be reached out via phone at 508-350-2100 and via fax at 508-350-2314.
Provider Profile Details
- NPI Number
- 1013954759
- Provider Name
- Kevin J Broderick
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1 Compass Way, Suite 102, East Bridgewater, MA 02333-1465
- Phone Number
- 508-350-2100
- Fax Number
- 508-350-2314
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 1, 2006
- Last Update Date
- March 7, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Compass Way
Suite 102
East Bridgewater, MA 02333-1465 - City
- East Bridgewater
- State
- Massachusetts
- Zip
- 02333-1465
- Phone Number
- 508-350-2100
- Fax Number
- 508-350-2314
Provider Business Mailing Address Details
- Address
- 362 N Bedford St
East Bridgewater, MA 02333-1148 - City
- East Bridgewater
- State
- MA
- Zip
- 02333-1148
- Phone Number
- 508-350-2350
- Fax Number
- 508-350-2318
License Information
- License Number
- 204113
- License State
- MA
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Kevin J Broderick, DO?
The NPI number of Kevin J Broderick, DO is 1013954759. It was assigned on June 1, 2006 and is currently active in the NPPES registry.
What is the specialty of Kevin J Broderick, DO?
Kevin J Broderick, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in MA under license number 204113.
Where does Kevin J Broderick, DO practice?
The practice location is 1 Compass Way, Suite 102, East Bridgewater, MA 02333-1465. The office can be reached at 508-350-2100 (phone) or 508-350-2314 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013954759 directly on the NPPES registry website.