Active NPIIndividual provider

Thomas F Broderick, DO

Family Medicine in Lyndon, Vermont

NPI Number1083646681
Practice location
195 Industrial Pkwy, Nvrh Corner Medical, Lyndon, VT 05849
Fax
—
Last updated
April 14, 2022

Thomas F Broderick is a Family Medicine based in Lyndon, VT. Thomas F Broderick practices in Lyndon, VT and has the professional credentials of DO. The NPI Number for Thomas F Broderick is 1083646681 and holds a License No. 7599 (NH). The current practice location address for Thomas F Broderick is 195 Industrial Pkwy, Nvrh Corner Medical, Lyndon, VT 05849 and can be reached out via phone at 802-748-9501.

Provider Profile Details

NPI Number
1083646681
Provider Name
Thomas F Broderick
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
195 Industrial Pkwy, Nvrh Corner Medical, Lyndon, VT 05849
Phone Number
802-748-9501
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
July 6, 2006
Last Update Date
April 14, 2022
Certification Date
April 14, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
195 Industrial Pkwy
Nvrh Corner Medical
Lyndon, VT 05849
City
Lyndon
State
Vermont
Zip
05849
Phone Number
802-748-9501
Lyndon, VT 05849Get directions →

Provider Business Mailing Address Details

Address
Po Box 905
St Johnsbury, VT 05819-0905
City
St Johnsbury
State
VT
Zip
05819-0905
Phone Number
802-748-8141
Fax Number
802-748-4098

License Information

License Number (1)
7599
License State (1)
NH
Taxonomy (1)
Emergency Medicine · 207P00000X
License Number (2)
032-0000286
License State (2)
VT
Taxonomy (2)
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Thomas F Broderick, DO?

The NPI number of Thomas F Broderick, DO is 1083646681. It was assigned on July 6, 2006 and is currently active in the NPPES registry.

What is the specialty of Thomas F Broderick, DO?

Thomas F Broderick, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NH under license number 7599.

Where does Thomas F Broderick, DO practice?

The practice location is 195 Industrial Pkwy, Nvrh Corner Medical, Lyndon, VT 05849. The office can be reached at 802-748-9501 (phone).

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 1083646681 directly on the NPPES registry website.

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