JOHN SCOTT BRODERICK (NPI# 1235180670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235180670 |
| Entity Type | Individual |
| Full Name | JOHN SCOTT BRODERICK |
| Credential | M.D. |
| Practice Address |
480 Floyd Rd Suite A Spartanburg SC 29307-1518 |
| Mailing Address |
Po Box 743070 Atlanta GA 30374-3070 |
| Practice Telephone | 8645822188 |
| Practice Fax Number | 8645822117 |
| Mailing Telephone | 8645604304 |
| Mailing Fax Number | 8645604413 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2018-04-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 16584 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | CIGNA | 4460681 | 01 |
| SC | RR MEDICARE | 200032060 | 01 |
| SC | BCBS OF SC | 576007863084 | 01 |
| SC | AETNA | 5391725 | 01 |
| SC | 165840 | 05 | |
| SC | RR MEDICARE | P00797721 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396831053 | John P Broderick | Chiropractor | 174 Central Street, Suite 234, Lowell, MA 01852 | 2006-10-04 |
| 1588666424 | John Dennis Broderick | Emergency Medicine | 7755 Center Ave Ste 630, Huntington Beach, CA 92647-9152 | 2005-08-11 |
| 1265084537 | John Marcus Broderick | Case Manager/Care Coordinator | 7946 Goodwood Blvd, Baton Rouge, LA 70806-7629 | 2019-07-16 |
| 1841403953 | John G. Broderick | Dentist | 167 Gano St, Providence, RI 02906-3808 | 2007-05-07 |
| 1508939976 | John Scott Broderick | Psychiatry & Neurology | 13133 N Port Washington Rd, Suite G06, Mequon, WI 53097-2419 | 2006-11-15 |
| Street Address |
480 FLOYD RD SUITE A |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29307-1518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225036551 | Walter Grady | Orthopaedic Surgery | 480 Floyd Rd, Spartanburg, SC 29307-1518 | 2005-07-11 |
| 1235679762 | Katelynn Amberly King | Physician Assistant | 480 Floyd Rd, Spartanburg, SC 29307-1518 | 2017-03-02 |
| 1952754004 | Emily Sadowski | Physician Assistant | 480 Floyd Rd, Suite A, Spartanburg, SC 29307-1518 | 2016-07-13 |
| 1235478694 | Spartanburg Medical Center | Orthopaedic Surgery | 480 Floyd Rd, Suite A, Spartanburg, SC 29307-1518 | 2013-02-05 |
| 1982985727 | Spartanburg Medical Center | Orthopaedic Surgery | 480 Floyd Rd, Spartanburg, SC 29307-1518 | 2011-09-07 |
| 1700945862 | Smith Therapy Services | Clinic/Center | 480 Floyd Rd, Spartanburg, SC 29307-1518 | 2006-12-06 |
| 1154419331 | Grady Orthopaedics, LLC | Orthopaedic Surgery | 480 Floyd Rd, Spartanburg, SC 29307-1518 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023677945 | Healogics Specialty Physicians of South Carolina, LLC | Clinic/Center | 1630 Skylyn Drive, Suite 420, Spartanburg, SC 29307 | 2019-06-13 |
| 1194247528 | Tawnia Lee Prince | Occupational Therapy Assistant | 110 Summit Knoll Drive, Spartanburg, SC 29307 | 2017-07-07 |
| 1730633553 | Laura K Taylor | Chiropractor | 1802 Drayton Road, Suite 309, Spartanburg, SC 29307 | 2016-08-10 |
| 1013372390 | Erin Lavette Farr | Nurse Practitioner | 2780 East Main Street, Ltc Health Solutions, Spartanburg, SC 29307 | 2015-12-30 |
| 1316312010 | Joy Rogers | Speech-Language Pathologist | 175 Burdette St, Spartanburg, SC 29307 | 2015-12-07 |
| 1376923169 | Olivia Conrad | Speech-Language Pathologist | 220 Sloans Grove Rd, Spartanburg, SC 29307 | 2015-06-05 |
| 1457755118 | Optimal Radiology Partners of Virginia, Pllc | Radiology | 75 Skylyn Drive, Spartanburg, SC 29307 | 2014-10-09 |
| 1295033272 | Sean Quinn | Pharmacist | 790 East Main Street, Spartanburg, SC 29307 | 2011-03-01 |
| 1417250887 | James Edward Bradof | Internal Medicine | 212 Cypress Creek Drive, Spartanburg, SC 29307 | 2010-12-07 |
| 1528388030 | Tanya Tocharoen Tang | Internal Medicine | 126 Dillon Dr., Spartanburg, SC 29307 | 2010-06-07 |
| Find all providers in zip 29307 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316416415 | Spartanburg Medical Center | Orthopaedic Surgery | 1650 Skylyn Dr Ste 120, Spartanburg, SC 29307-1069 | 2018-11-19 |
| 1821408238 | Spartanburg Medical Center | Orthopaedic Surgery | 9768 Warren H. Abernathy Hwy, Spartanburg, SC 29301-5201 | 2014-05-07 |
| 1285659219 | Glenn L Scott | Orthopaedic Surgery | 900 South Pine Street, Ste A, Spartanburg, SC 29302 | 2006-07-12 |
| 1437100781 | Stephen M Kana | Orthopaedic Surgery | 1330 Boiling Springs Rd Ste 1540, Spartanburg, SC 29303-4224 | 2006-05-12 |
| 1225036551 | Walter Grady | Orthopaedic Surgery | 480 Floyd Rd, Spartanburg, SC 29307-1518 | 2005-07-11 |
| 1699771121 | Douglas John Wyland | Orthopaedic Surgery | 333 S Pine St, Spartanburg, SC 29302-2622 | 2005-06-21 |
| 1609386424 | Spartanburg Medical Center | Orthopaedic Surgery | 1330 Boiling Springs Rd Ste 1540, Spartanburg, SC 29303 | 2017-10-06 |
| 1578978821 | David Anthony Barcel | Orthopaedic Surgery | 1330 Boiling Springs Rd Ste 1600, Spartanburg, SC 29303-4219 | 2014-06-25 |
| 1306285978 | Travis Michael Patterson | Orthopaedic Surgery | 1330 Boiling Springs Rd Ste 1600, Spartanburg, SC 29303-4219 | 2013-06-17 |
| 1235478694 | Spartanburg Medical Center | Orthopaedic Surgery | 480 Floyd Rd, Suite A, Spartanburg, SC 29307-1518 | 2013-02-05 |
| Find all providers in SPARTANBURG | ||||
| City | SPARTANBURG |
| Zip Code | 29307 |
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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.