KAREN A BRODERICK MD
NPI 1013977073
Pediatrics - Neonatal-Perinatal Medicine in Baltimore, MD

Q: What is Karen Broderick's NPI number?

The NPI number for Karen Broderick is 1013977073. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Q: What is Karen Broderick's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Karen Broderick was last updated on February 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 24, 2006PECOS Enrolled

900 CATON AVENUE, BALTIMORE, MD 21229(410) 368-2505(410) 368-3549 Get Directions Write a Review

NPPES record last updated: February 17, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Karen A Broderick Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAREN A BRODERICK MD (NPI 1013977073) is an individual neonatal-perinatal medicine provider in Baltimore, Maryland, licensed in Maryland (D0035190) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013977073

Entity TypeIndividualFemale

Primary Taxonomy2080N0001X

Provider Legal NameKAREN A BRODERICKCredential: MD

Location Address900 CATON AVENUEBaltimore, MD 21229

Mailing AddressPo Box 21182Baltimore, MD 21228 · (410) 368-8640 · Fax (410) 368-8644

Phone(410) 368-2505

Fax(410) 368-3549

Sole ProprietorNo

Enumeration DateMarch 24, 2006

Last NPPES UpdateFebruary 17, 2011

✔ NPI 1013977073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in MD · D0035190

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Also ListedPediatricsTaxonomy 208000000X · License D0035190 (MD)

900 CATON AVENUE, Baltimore, MD 21229

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Other Identifiers 5

Medicare UPINC57687

Medicaid442791200MD

OtherK51935153501MD · Carefirst

OtherW6620094DC · Carefirst

Medicare ID-Type UnspecifiedK519MD

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karen A Broderick Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BENJAMIN ALEXANDER SULLIVAN P.A.-C

Physician Assistant