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DUANE BRODERICK
NPI 1285921643
Counselor - Mental Health in Burley, ID

Active since July 06, 2011
2311 PARKE AVE., STE. 8, BURLEY, ID 83350(208) 878-3350(208) 878-3351 Get Directions Write a Review

NPPES record last updated: July 6, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Duane Broderick NPPES

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

DUANE BRODERICK (NPI 1285921643) is an individual mental health provider in Burley, Idaho, licensed in Idaho (LMSW3064) and active in the NPI registry since July 2011.

NPPES Registry Identity

NPI1285921643
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDUANE BRODERICK
Location Address2311 PARKE AVE., STE. 8Burley, ID 83350
Mailing Address2311 Parke Ave., Ste. 8Burley, ID 83350 · (208) 878-3350 · Fax (208) 878-3351
Phone(208) 878-3350
Fax(208) 878-3351
Sole ProprietorNo
Enumeration DateJuly 6, 2011
✔ NPI 1285921643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in ID · LMSW3064
2311 PARKE AVE., STE. 8, Burley, ID 83350
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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 Duane Broderick's NPI number?

The NPI number for Duane Broderick is 1285921643. It was assigned to this individual provider in the NPPES registry on July 6, 2011.

Where is Duane Broderick located?

Duane Broderick practices at 2311 Parke Ave., Ste. 8, Burley, ID 83350. The listed phone number is (208) 878-3350.

What is Duane Broderick's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Duane Broderick was last updated on July 6, 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.