1. Home
  2. Directory
  3. Indiana
  4. Polis
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

CONOR THOMAS BRODERICK
NPI 1023787991
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since September 13, 2021PECOS Enrolled
545 BARNHILL DR STE 121, INDIANAPOLIS, IN 46202(317) 274-4976 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Conor Thomas Broderick NPPES

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

CONOR THOMAS BRODERICK (NPI 1023787991) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023787991
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCONOR THOMAS BRODERICK
Location Address545 BARNHILL DR STE 121Indianapolis, IN 46202
Mailing Address545 Barnhill Dr Ste 121Indianapolis, IN 46202 · (317) 274-4976
Phone(317) 274-4976
Sole ProprietorNo
Enumeration DateSeptember 13, 2021
Last NPPES UpdateApril 15, 2025
NPPES CertifiedApril 15, 2025
✔ NPI 1023787991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
545 BARNHILL DR STE 121, Indianapolis, IN 46202
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Conor Thomas Broderick 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 3

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

PAYAL PATEL
Student in an Organized Health Care Education/Training Program
545 BARNHILL DR STE 121
INDIANAPOLIS, IN 46202
Marion County (317) 274-4976
DR. MATTHEW MARLEY MD
Student in an Organized Health Care Education/Training Program
545 BARNHILL DR STE 121
INDIANAPOLIS, IN 46202
Marion County (317) 274-4976
SHEA JEFFRES
Student in an Organized Health Care Education/Training Program
545 BARNHILL DR STE 121
INDIANAPOLIS, IN 46202
Marion County (317) 274-4976

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Conor Broderick's NPI number?

The NPI number for Conor Broderick is 1023787991. It was assigned to this individual provider in the NPPES registry on September 13, 2021.

Where is Conor Broderick located?

Conor Broderick practices at 545 Barnhill Dr Ste 121, Indianapolis, IN 46202. The listed phone number is (317) 274-4976.

What is Conor Broderick's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Conor Broderick enrolled in Medicare?

Yes. Conor Broderick is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Conor Broderick was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.