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NPI · 1063753390 · NPPES-sourced

Christopher Broderick DO

ActiveEmergency Medicine
NPI Number
1063753390
Type 1 · Individual
Taxonomy Code
207P00000X
Contact
(518) 348-3176
License NY · 288755
Last Updated
About 14 months ago (Mar 2025)
Enumerated 2013-03-12
Primary practice addressNY · 12110-1425
13 Cornell Rd Ste 2Latham, NY 12110-1425
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About this NPIWhat this record shows.

NPI 1063753390 is registered to Christopher Broderick DO, a Emergency Medicine practising at 13 Cornell Rd Ste 2 in Latham, New York. Emergency Medicine is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Christopher Broderick DO has been enumerated in the National Provider Identifier (NPI) registry since 2013.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2013-03-12
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Order and Referring Only

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Christopher Broderick DO accepts. To confirm in-network status with your specific health plan, contact Christopher Broderick DO directly at (518) 348-3176.

Frequently asked

Yes. NPI 1063753390 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Emergency Medicine is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (518) 348-3176.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Christopher Broderick DO is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy207P00000X
Last updated2025-03
Enumerated2013-03-12
StatusActive
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