THOMAS F BRODERICK (NPI# 1083646681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083646681 |
| Entity Type | Individual |
| Full Name | THOMAS F BRODERICK |
| Credential | D.O. |
| Practice Address |
195 Industrial Pkwy Nvrh Corner Medical Lyndon VT 05849 |
| Mailing Address |
Po Box 83 Lyndonville VT 05851-0083 |
| Practice Telephone | 8027489501 |
| Mailing Telephone | 8027489501 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2014-11-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 7599 | NH | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 032-0000286 | VT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 0005681 | 05 | |
| NH | 3074951 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679901581 | Thomas Broderick | Dentist | 500 Eisenhower Dr, Savannah, GA 31406-2608 | 2013-10-31 |
| 1912156340 | Thomas Patrick Broderick II | Registered Nurse | 15655 State Route 170 Ste A, East Liverpool, OH 43920-9672 | 2008-09-10 |
| 1407878853 | Thomas W Broderick | Radiology | 190 E Bannock St, Boise, ID 83712-6241 | 2006-07-24 |
| 1912973496 | Thomas P Broderick | Anesthesiology | 600 Highland Ave, Madison, WI 53792 | 2006-02-24 |
| 1396722252 | Thomas Broderick | Internal Medicine | 2123 Auburn Ave, Suite 136, Cincinnati, OH 45219-2906 | 2005-12-30 |
| Street Address |
195 INDUSTRIAL PKWY NVRH CORNER MEDICAL |
| City | LYNDON |
| State | VT |
| Zip Code | 05849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154352672 | Lloyd L Thompson IIi | Family Medicine | 195 Industrial Pkwy, Nvrh Corner Medical, Lyndon, VT 05849 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235160912 | Mollie D Chamberlain | Nurse Practitioner | Dartmouth Hitchcock Clinic, 195 Industrial Pkwy, Lyndon, VT 05849 | 2006-07-05 |
| 1649216292 | Joyce M Dobbertin | Family Medicine | Nvrh Corner Medical, 195 Industrial Pkwy, Lyndon, VT 05849 | 2006-06-21 |
| 1740653492 | Lydia Abair | Nurse Practitioner | 195 Industrial Parkway, Nvrh Corner Medical, Lyndon, VT 05849 | 2015-11-03 |
| 1912075896 | Brigitte France Dargis | Family Medicine | 195 Industrial Parkway, Nvrh Corner Medical, Lyndon, VT 05849 | 2006-12-01 |
| 1881621753 | Miriam J Simon | Physician Assistant | Nvrh Corner Medical, 195 Industrial Pkwy, Lyndon, VT 05849 | 2006-06-27 |
| 1619931656 | Albert Joseph Hebert | Legal Medicine | 195 Industrial Parkway, Lyndon, VT 05849 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407312762 | Collette Wilson | Massage Therapist | 8143 New La Grange Rd, Lyndon, KY 40222-4682 | 2019-02-12 |
| 1689145740 | Carey B Williams | Counselor | 1606 Blue Jay Dr Apt 3, Lyndon, KY 40222-3978 | 2018-12-16 |
| 1841429347 | Lyndon Usd 421 | Local Education Agency (LEA) | 421 E 6th St, Lyndon, KS 66451-9482 | 2009-07-07 |
| 1578776589 | County of Osage | Clinic/Center | 103 E 9th, Lyndon, KS 66451 | 2007-05-07 |
| 1417058124 | Murray Gentle Chiropractic Inc | Chiropractor | 603 Washington St, Lyndon, KS 66451-9858 | 2006-09-26 |
| 1780692681 | Three Lakes Ed. Coop | Local Education Agency (LEA) | 1318 Topeka Avenue, Lyndon, KS 66451 | 2006-08-04 |
| 1225043466 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 520 Lyndon Ln, Lyndon, KY 40222-4618 | 2006-07-29 |
| 1154335339 | Heather D Schulte | Hospice Care, Community Based | 617 Jackson St, Lyndon, KS 66451-9496 | 2006-07-27 |
| 1326035254 | Patrick E Murray | Chiropractor | 603 Washington St., Lyndon, KS 66451 | 2005-10-05 |
| 1366783482 | Ashley K Gerrish | Nurse Practitioner | 195 Industrial Parkway, Lyndon, VT 05851 | 2013-03-14 |
| Find all providers in LYNDON | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649216292 | Joyce M Dobbertin | Family Medicine | Nvrh Corner Medical, 195 Industrial Pkwy, Lyndon, VT 05849 | 2006-06-21 |
| 1912075896 | Brigitte France Dargis | Family Medicine | 195 Industrial Parkway, Nvrh Corner Medical, Lyndon, VT 05849 | 2006-12-01 |
| 1992884456 | John Glenn Scott | Family Medicine | 195 Industrial Parkway, Lyndon, VT 05851 | 2006-11-03 |
| 1902902083 | Susan L Gresser | Family Medicine | Nvrh Corner Medical, 195 Industrial Pkwy, Lyndon, VT 05819 | 2006-09-15 |
| 1154352672 | Lloyd L Thompson IIi | Family Medicine | 195 Industrial Pkwy, Nvrh Corner Medical, Lyndon, VT 05849 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730700469 | Gfm House Call Practice | Family Medicine | 23 Stratton, Winhall, VT 05340 | 2020-05-05 |
| 1447800792 | Peter M Sher, Md, Plc | Family Medicine | 4 S Main St Ste 6, Hardwick, VT 05843-7070 | 2019-09-18 |
| 1992353445 | Village Health, Inc. | Family Medicine | 5 Park St Ste 3a, Middlebury, VT 05753-1169 | 2019-08-28 |
| 1528620838 | Five-town Health Alliance, Inc | Family Medicine | 56 College St, Middlebury, VT 05753-1447 | 2019-07-08 |
| 1134604622 | Little Rivers Health Care, Inc. | Family Medicine | 36 Oxbow Dr, Bradford, VT 05033-9037 | 2018-10-01 |
| 1093179400 | Justin Cherng Chuang | Family Medicine | Cvmc Hospitalist Department, 130 Fisher Road, 3rd Floor, Berlin, VT 05602-9000 | 2016-04-12 |
| 1225400237 | Community Health Centers of The Rutland Region, Inc. | Family Medicine | 71 Allen Pond, Suite 403, Rutland, VT 05701-4570 | 2015-10-29 |
| 1871927806 | Langdon Swain Lawrence | Family Medicine | 4276 Silver St, Hinesburg, VT 05461-9492 | 2013-08-27 |
| 1871840843 | Five-town Health Alliance, Inc | Family Medicine | 61 Pine Street, Building 4, Bristol, VT 05443 | 2012-08-09 |
| 1770843575 | Chloe Tartaglia | Family Medicine | 577 Washington Hwy, Morrisville, VT 05661 | 2012-05-25 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on THOMAS F BRODERICK.
| 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.