JESSICA LYNN BRODERICK


Address: 5450 Fort St, Trenton, MI 48183-4601
Phone: 7346713800

JESSICA LYNN BRODERICK (NPI# 1538728225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538728225
Entity Type Individual
Full Name JESSICA LYNN BRODERICK
Other Name JESSICA LYNN BEVLIN
Credential DO
Practice Address 5450 Fort St
Trenton
MI 48183-4601
Practice Telephone 7346713800
Enumeration Date 2019-06-06
Last Update Date 2019-06-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery 5151013945 MI Allopathic & Osteopathic Physicians

Other Providers JESSICA BRODERICK

NPI Name Taxonomy Address Enumeration
1700365103 Jessica Broderick Physician Assistant 1800 Northside Forsyth Dr Ste 450, Cumming, GA 30041-8483 2018-08-07
1881059038 Jessica Broderick Speech-Language Pathologist 2027 10th St, Gering, NE 69341-2417 2015-12-15
1184091530 Jessica Broderick Counselor 3415 Se Powell Blvd, Portland, OR 97202-3371 2015-09-01

Office Location

Street Address 5450 FORT ST
City TRENTON
State MI
Zip Code 48183-4601

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457354524 Craig Eugene Dunn Nurse Anesthetist, Certified Registered 5450 Fort St, Trenton, MI 48183-4601 2005-05-23
1053937995 Ian Zachary Lewis Internal Medicine 5450 Fort St, Trenton, MI 48183-4601 2020-06-16
1467077644 Ramsha Samra Podiatrist 5450 Fort St, Trenton, MI 48183-4601 2020-06-12
1154946549 Stefan Nicholas Papandreou Internal Medicine 5450 Fort St, Trenton, MI 48183-4601 2020-06-11
1720602378 Cathryn Ann Rudawsky Surgery 5450 Fort St, Trenton, MI 48183-4601 2020-05-29
1790308559 Saad Habib Internal Medicine 5450 Fort St, Trenton, MI 48183-4601 2020-05-27
1740803154 Hasan Aoun Student in an Organized Health Care Education/Training Program 5450 Fort St, Trenton, MI 48183-4601 2020-05-20
1770105066 Hunter L Hays Student in an Organized Health Care Education/Training Program 5450 Fort St, Trenton, MI 48183-4601 2020-05-11
1841812203 Manjot Sodhi Student in an Organized Health Care Education/Training Program 5450 Fort St, Trenton, MI 48183-4601 2020-05-08
1104447671 Paige E Spagna Student in an Organized Health Care Education/Training Program 5450 Fort St, Trenton, MI 48183-4601 2020-05-06
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043869324 Tonya Saint Onge Physical Therapy Assistant Applewood Nursing Center, 18500 Van Horn Rd., Woodhaven, MI 48183 2019-09-09
1326568635 Samantha Nicole Steffen Behavior Technician 3244 Concord, Trenton, MI 48183 2017-06-27
1225567688 Nicholas Michael Abdallah Dentist 21080 Allen Road, Woodhaven, MI 48183 2017-06-08
1265823041 Sherry A Dees Lmsw Acsw LLC Counselor 23933 Allen Road, Suite 3, Woodhaven, MI 48183 2015-02-14
1720480825 Marlo Brazier Technician, Other 226000 West Rd, Apt 108, Trenton, MI 48183 2014-09-19
1679902597 Henry Ford Wyandotte Hospital Dietitian, Registered 1640 Fort Street, Suite D Attn Denise, Trenton, MI 48183 2013-11-02
1548605116 Kay Vonne Cason Psy Pllc Psychologist 19366 Allen Rd Ste. D, Brownstown, MI 48183 2013-05-08
1891031118 Mazin K Dds PC Dentist 22319 King Rd, Woodhaven, MI 48183 2012-12-13
1114241585 John Shafer Psychologist 1660 Fort St, Trenton, MI 48183 2010-03-15
1982871026 Anthony G Gray Physical Therapist 20059 King Road, Woodhaven, MI 48183 2008-05-08
Find all providers in zip 48183

Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831420306 Raymond Laird Jr. Surgery 5400 Fort St Ste 150, Trenton, MI 48183-4627 2010-01-23
1366471872 Mohammed Saleem Surgery 1520 Pennington Rd, Trenton, NJ 08618-1307 2006-06-30
1629024757 Fares Surgical Associates, Pa Surgery 1345 Kuser Rd, Suite 1, Trenton, NJ 08619-3823 2006-05-26
1316923642 John C Baumann Surgery 3231 West Rd, Trenton, MI 48183-2399 2005-12-19
1316939382 John Edward Bodell Surgery 2871 West Rd, Trenton, MI 48183-2476 2005-08-16
1710979869 Robert H Dickason Surgery 5400 Fort St, Suite 210, Trenton, MI 48183-4632 2005-08-16
1720602378 Cathryn Ann Rudawsky Surgery 5450 Fort St, Trenton, MI 48183-4601 2020-05-29
1376103606 Tanner James Allen Surgery 5450 Fort St, Trenton, MI 48183-4601 2019-06-18
1104485721 Eve Gibson Paxton Surgery 5450 Fort St, Trenton, MI 48183-4601 2019-06-07
1144791732 Laird and Laird Surgical Associates, Pllc Surgery 2128 W Jefferson Ave, Trenton, MI 48183-5470 2018-12-08
Find all providers in TRENTON

Competitor

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City TRENTON
Zip Code 48183

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Dataset Information

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.

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