CHRISTOPHER EVERETT BRODERICK (NPI# 1063753390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063753390 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER EVERETT BRODERICK |
| Credential | DO |
| Practice Address |
2157 Main St Buffalo NY 14214-2648 |
| Mailing Address |
2157 Main St Buffalo NY 14214 |
| Practice Telephone | 7168621000 |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2017-07-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 288755 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467745711 | Christopher Cade Broderick | Chiropractor | 380 W Vista Hermosa Dr Ste 100, Green Valley, AZ 85614-1901 | 2011-05-19 |
| 1831466549 | Christopher Matthew Broderick | Nurse Practitioner | 1977 Niles Rd Se, Warren, OH 44484-5118 | 2011-11-23 |
| Street Address |
2157 MAIN ST |
| City | BUFFALO |
| State | NY |
| Zip Code | 14214-2648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649276189 | Andrew Soh | Internal Medicine | 2157 Main St, Buffalo, NY 14214-2648 | 2005-06-21 |
| 1033732540 | Seyedeh Kimia Yavari | Student in an Organized Health Care Education/Training Program | 2157 Main St, 2 Nd Floor, Dept of Internal Medicine, Buffalo, NY 14214-2648 | 2020-05-19 |
| 1710509120 | Hamzah Ruxshan Juhardeen | Student in an Organized Health Care Education/Training Program | 2157 Main St, Sisters of Charity Hospital, Buffalo, NY 14214-2692 | 2020-05-08 |
| 1487275228 | Kenneth Paul Dill | Pharmacist | 2157 Main St, Buffalo, NY 14214-2648 | 2020-05-04 |
| 1043831316 | Ivan Wudexi | Student in an Organized Health Care Education/Training Program | 2157 Main St, Buffalo, NY 14214 | 2020-04-28 |
| 1922628312 | Nicole Marie Fitch | Student in an Organized Health Care Education/Training Program | 2157 Main St, Buffalo, NY 14214-2648 | 2020-04-26 |
| 1265052013 | Samia Sayyid | Student in an Organized Health Care Education/Training Program | 2157 Main St, Buffalo, NY 14214-2648 | 2020-04-22 |
| 1003436817 | Numra Aslam Bajwa | Student in an Organized Health Care Education/Training Program | 2157 Main St, Buffalo, NY 14214-2692 | 2020-04-22 |
| 1265051676 | Mina Abdelmalek | Student in an Organized Health Care Education/Training Program | 2157 Main St, Buffalo, NY 14214-2648 | 2020-04-15 |
| 1932728631 | Manpreet Kaur | Student in an Organized Health Care Education/Training Program | 2157 Main St, Buffalo, NY 14214-2692 | 2020-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346862935 | Hafiz Muhammad Fazeel | Student in an Organized Health Care Education/Training Program | 2157 Main Street Sisters Hospital Department of Medicin, Buffalo, NY 14214 | 2020-05-18 |
| 1962031542 | Sana Annan | Anesthesiology | 195 Holden St, Buffalo, NY 14214 | 2020-04-06 |
| 1508404401 | Gabrielle Korman | Counselor | 70 Jewett Parkway, Buffalo, NY 14214 | 2019-12-11 |
| 1215581541 | Ahmed Nagy Abdelrahman | Speech-Language Pathologist | 3435 Main Street 114 Cary Hall, University At Buffalo, Buffalo, NY 14214 | 2019-07-25 |
| 1316590086 | Megan Elizabeth Quinn | Social Worker | 34 Benwood Ave., Buffalo, NY 14214 | 2019-07-22 |
| 1235690553 | Iqra Qamar | Student in an Organized Health Care Education/Training Program | 2157 Main St. Sisters Hospital, Department of Medicine, 5th Floor, Buffalo, NY 14214 | 2019-03-28 |
| 1477034676 | April Forsaith Villacrusis | Specialist/Technologist | 18 Agassiz Circle, Attn: Athletics Dept., Buffalo, NY 14214 | 2018-08-24 |
| 1437656675 | Anum Nida | Student in an Organized Health Care Education/Training Program | Sisters of Charity Hospital, 2157 Main St 2nd Floor, Buffalo, NY 14214 | 2018-04-12 |
| 1710480173 | Wny Podiatric Associates Pllc | Podiatrist | 2121 Main St Ste 214, Buffalo, NY 14214 | 2018-03-13 |
| 1043738446 | Alexander Paul Peters | Physical Therapist | 53 Robie St, Apt 3, Buffalo, NY 14214 | 2017-09-06 |
| Find all providers in zip 14214 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992149538 | Amy Le | Emergency Medicine | 100 High St # D-6, Dept of Emergency Medicine, Buffalo, NY 14203-1126 | 2013-04-25 |
| 1972896447 | Dean Thomas Langenfeld | Emergency Medicine | 292 North St, Apt 4, Buffalo, NY 14201-1315 | 2011-05-17 |
| 1033400577 | Bindesh Patel | Emergency Medicine | 462 Grider St Dept Of, Buffalo, NY 14215 | 2011-05-02 |
| 1568789147 | Joshua J Holland | Emergency Medicine | 117 Cary Hall, 3435 Main Street, Buffalo, NY 14214 | 2010-04-22 |
| 1003041187 | Andrew Robert Poreda | Emergency Medicine | 100 High St., Buffalo, NY 14203 | 2009-05-19 |
| 1265505374 | Brett T Williams | Emergency Medicine | Buffalo General Hospital Department of Emergency Medic, 100 High St, Buffalo, NY 14203 | 2006-11-16 |
| 1376507640 | Lynn Simon | Emergency Medicine | 303 Catlin Street, Buffalo Hospital, Buffalo, MN 55313 | 2006-04-13 |
| 1710962832 | Douglas Peterson | Emergency Medicine | 1630 Anderson Ave, Buffalo, MN 55313-2945 | 2005-12-13 |
| 1184251076 | Grant William Krystofik | Emergency Medicine | 462 Grider St, Buffalo, NY 14215-3021 | 2020-03-23 |
| 1922565050 | Casey J Krug | Emergency Medicine | 100 High St, Buffalo, NY 14203-1126 | 2019-02-25 |
| Find all providers in BUFFALO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.