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MR. ROBERT W BRODDUS JR. LAT, ATC
NPI 1407203060
Specialist/Technologist - Athletic Trainer in Salisbury, MD

Active since May 24, 2016
1101 CAMDEN AVE, SALISBURY UNIVERSITY, SALISBURY, MD 21801(410) 543-6355(410) 546-2639 Get Directions Write a Review

NPPES record last updated: May 24, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Robert W Broddus Jr. Lat, Atc NPPES

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

MR. ROBERT W BRODDUS JR. LAT, ATC (NPI 1407203060) is an individual athletic trainer provider in Salisbury, Maryland, licensed in Maryland (A0000758) and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1407203060
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameMR. ROBERT W BRODDUS JR.Credential: LAT, ATC
Location Address1101 CAMDEN AVE, SALISBURY UNIVERSITYSalisbury, MD 21801-6837
Mailing Address124 Drexler Ave SLiverpool, NY 13088-6634 · (315) 382-8107
Phone(410) 543-6355
Fax(410) 546-2639
Sole ProprietorNo
Enumeration DateMay 24, 2016
✔ NPI 1407203060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in MD · A0000758
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
1101 CAMDEN AVE, Salisbury, MD 21801
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Other Providers at the Same Location NPPES 20

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

NYA DOBBS
Student in an Organized Health Care Education/Training Program
1101 CAMDEN AVE
SALISBURY, MD 21801
Wicomico County (410) 543-6000
DONALD WAYNE MATHIS
Specialist/Technologist (Athletic Trainer)
1101 CAMDEN AVE
SALISBURY, MD 21801
Wicomico County (443) 669-4660
MAIYA GIBSON
Specialist/Technologist (Athletic Trainer)
1101 CAMDEN AVE
SALISBURY, MD 21801
Wicomico County (410) 543-6000
JANAE GANAWAY
Student in an Organized Health Care Education/Training Program
1101 CAMDEN AVE
SALISBURY, MD 21801
Wicomico County (443) 468-7134
JACLYN ANDERSON ATC
Specialist/Technologist (Athletic Trainer)
1101 CAMDEN AVE
SALISBURY, MD 21801
Wicomico County (410) 422-3890
CYNTHIA MATTSON MCCREADY CRNP
Nurse Practitioner
1101 CAMDEN AVE, HOLLOWAY HALL RM 180
SALISBURY, MD 21801
Wicomico County (410) 543-6262
JEFF ORSOE II
Specialist/Technologist (Athletic Trainer)
1101 CAMDEN AVE
SALISBURY, MD 21801
Wicomico County (908) 705-4513
LAURA M MARINARO RD. ATC
Dietitian, Registered (Nutrition, Sports Dietetics)
1101 CAMDEN AVE
SALISBURY, MD 21801
Wicomico County (443) 838-9223

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 Robert Broddus's NPI number?

The NPI number for Robert Broddus is 1407203060. It was assigned to this individual provider in the NPPES registry on May 24, 2016.

Where is Robert Broddus located?

Robert Broddus practices at 1101 Camden Ave Salisbury University, Salisbury, MD 21801. The listed phone number is (410) 543-6355.

What is Robert Broddus's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Robert Broddus was last updated on May 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.