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NPI · 1508939976 · NPPES-sourced

Dr. John Broderick M.D.

ActiveClinical Neurophysiology
NPI Number
1508939976
Type 1 · Individual
Taxonomy Code
2084N0600X
Contact
(262) 243-8371
License WI · 46762-020
Last Updated
About 13 years ago (Jun 2012)
Enumerated 2006-11-15
Primary practice addressWI · 53097-2419
13133 N Port Washington Rd, Suite G06Mequon, WI 53097-2419
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About this NPIWhat this record shows.

NPI 1508939976 is registered to Dr. John Broderick M.D., a Clinical Neurophysiology practising at 13133 N Port Washington Rd, Suite G06 in Mequon, Wisconsin. Clinical Neurophysiology is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Dr. John Broderick M.D. has been enumerated in the National Provider Identifier (NPI) registry since 2006.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2006-11-15
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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.

Practitioner

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 Dr. John Broderick M.D. accepts. To confirm in-network status with your specific health plan, contact Dr. John Broderick M.D. directly at (262) 243-8371.

Frequently asked

Yes. NPI 1508939976 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Clinical Neurophysiology 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 (262) 243-8371.

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. Dr. John Broderick M.D. is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy2084N0600X
Last updated2012-06
Enumerated2006-11-15
StatusActive
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