JOSEPH BRODERICK (NPI# 1609817642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609817642 |
| Entity Type | Individual |
| Full Name | JOSEPH BRODERICK |
| Credential | MD |
| Practice Address |
222 Piedmont Ave Suite 3100 Cincinnati OH 45219-4231 |
| Mailing Address |
Po Box 636256 Central Credentialing Cincinnati OH 45263-6256 |
| Practice Telephone | 5134758730 |
| Practice Fax Number | 5134758033 |
| Mailing Telephone | 5135855504 |
| Mailing Fax Number | 5135855511 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2017-08-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
35 055278 | OH | Allopathic & Osteopathic Physicians |
| N | 2084V0102X |
Psychiatry & Neurology Specialization: Vascular Neurology |
35 055278 | OH | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619447679 | Joseph Broderick | Student in an Organized Health Care Education/Training Program | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2018-12-03 |
| 1750812731 | Joseph Broderick | Emergency Medicine | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2017-03-22 |
| 1497813869 | Joseph Broderick | Psychiatry & Neurology | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2006-12-05 |
| 1548328651 | Joseph Anthony Broderick Jr. | Chiropractor | 123 Egg Harbor Rd, Suite 307, Sewell, NJ 08080-9406 | 2006-12-04 |
| Street Address |
222 PIEDMONT AVE SUITE 3100 |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45219-4231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104829514 | University Orthopaedic Consultants of Cincinnti, Inc. | Physician Assistant | 222 Piedmont Ave, Ste 2200, Cincinnati, OH 45219-4238 | 2005-05-31 |
| 1235775255 | Courtney Jo Bockrath | Nurse Practitioner | 222 Piedmont Ave, Cincinnati, OH 45219-4231 | 2019-11-25 |
| 1124593058 | Cindy Daggitt | Nurse Practitioner | 222 Piedmont Ave, Cincinnati, OH 45219-4231 | 2018-10-08 |
| 1831683226 | Lauren Rankine | Nurse Practitioner | 222 Piedmont Ave, Cincinnati, OH 45219 | 2018-06-19 |
| 1861996423 | Emily Thitoff | Nurse Practitioner | 222 Piedmont Ave, Cincinnati, OH 45219-4231 | 2018-03-20 |
| 1174026025 | Amanda Burton | Nurse Practitioner | 222 Piedmont Ave, Cincinnati, OH 45219 | 2018-03-16 |
| 1629579610 | Katherine Christian Romanowicz | Nurse Practitioner | 222 Piedmont Ave, Cincinnati, OH 45219-4231 | 2018-02-24 |
| 1063929701 | Blair Mcchesney | Registered Nurse | 222 Piedmont Ave, Cincinnati, OH 45219 | 2018-01-03 |
| 1871028357 | Raquel Keren Zemtsov | Student in an Organized Health Care Education/Training Program | 222 Piedmont Ave, Suite 5200, Cincinnati, OH 45219-4231 | 2017-04-21 |
| 1053844738 | Forest Weir | Student in an Organized Health Care Education/Training Program | 222 Piedmont Ave, Suite 5200, Cincinnati, OH 45219-4231 | 2017-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225659261 | Christopher Robert Smith | Student in an Organized Health Care Education/Training Program | 2139 Auburn Ave Tch Internal Medicine, Cincinnati, OH 45219 | 2020-04-30 |
| 1316574346 | Quincy Alvin Banks | Student in an Organized Health Care Education/Training Program | Tch Family Medicine, 2123 Auburn Ave, Suite 235, Cincinnati, OH 45219 | 2020-03-27 |
| 1831725324 | Sara Jane Elisabeth Hubbard | Student in an Organized Health Care Education/Training Program | 234 Goodman Street Ml 0803, Ucmc Dental Center, Cincinnati, OH 45219 | 2020-03-17 |
| 1528609815 | Yuliya Azirbayeva | Pharmacist | 3 West Corry St, Cincinnati, OH 45219 | 2019-10-08 |
| 1851955769 | Julie Grace Van Baardwijk | Student in an Organized Health Care Education/Training Program | Tch Internal Medicine, 2139 Auburn Ave, Cincinnati, OH 45219 | 2019-04-25 |
| 1164982773 | Zein Mouaffaq Saad Eddin | Student in an Organized Health Care Education/Training Program | 234 Goodman Street, Department of Surgery, Cincinnati, OH 45219 | 2019-03-20 |
| 1386103273 | Ismaeel Siddiqi | Student in an Organized Health Care Education/Training Program | 234 Goodman Street Ml 0781- Internal Medicine, Cincinatti, OH 45219 | 2019-03-19 |
| 1285123612 | Anna Vaughan | Counselor | 2828 Vernon Place, Cincinnati, OH 45219 | 2018-05-01 |
| 1043707565 | Chizara Nwade | Student in an Organized Health Care Education/Training Program | Tch Internal Medicine, 2139 Auburn Ave, Cincinnati, OH 45219 | 2018-04-19 |
| 1922503226 | Kristen Sparagna | Student in an Organized Health Care Education/Training Program | 234 Goodman St, Ml 665x, Cincinnati, OH 45219 | 2018-03-28 |
| Find all providers in zip 45219 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952751471 | Mohamed Ridha | Psychiatry & Neurology | 260 Stetson Street Suite 2300, Mail Location 0525, Cincinnati, OH 45267-1552 | 2016-06-15 |
| 1477940369 | Robert Joseph Stanton II | Psychiatry & Neurology | 3130 Highland Ave Fl 2, Uc Health Neurology Clinic, Cincinnati, OH 45219-2399 | 2015-04-20 |
| 1013150960 | Greater Cincinnati Behavioral Neuroscience Center LLC | Psychiatry & Neurology | 5240 E Galbraith Road, Cincinnati, OH 45236-2877 | 2009-04-08 |
| 1518118702 | Helard Alfredo Miranda | Psychiatry & Neurology | 222 Senator Pl Apt 50, Cincinnati, OH 45220-1725 | 2008-10-06 |
| 1043362445 | Charles Victor Abler | Psychiatry & Neurology | 939 Monastery St, Cincinnati, OH 45202-1510 | 2007-01-17 |
| 1982701405 | Robert Reed | Psychiatry & Neurology | 111 Wellington Place, Cincinnati, OH 45219 | 2006-09-19 |
| 1447271705 | Cincy Sleep and Neurology Centers Pllc | Psychiatry & Neurology | 3645 Stonecreek Blvd, Suite E, Cincinnati, OH 45251-1469 | 2006-07-22 |
| 1528003548 | Marsha S Smith | Psychiatry & Neurology | 4805 Montgomery Rd Ste 410, Cincinnati, OH 45212-2280 | 2006-06-17 |
| 1033198171 | Bashar Brijawi | Psychiatry & Neurology | 3301 Mercy Health Blvd Ste 300, Cincinnati, OH 45211-1109 | 2006-01-16 |
| 1891348041 | Jennifer Sharma | Psychiatry & Neurology | 3113 Bellevue Ave, Cincinnati, OH 45219-3158 | 2019-07-17 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45219 |
Please comment or provide details below to improve the information on JOSEPH 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.