MICHAEL TIMOTHY BRODERICK
NPI 1437736147
Student in an Organized Health Care Education/Training Program in Temple, TX
About Michael Timothy Broderick NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL TIMOTHY BRODERICK (NPI 1437736147) is an individual student in an organized health care education/training program in Temple, Texas and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Michael Timothy Broderick is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TEMPLE, TX 76508
TEMPLE, TX 76508
TEMPLE, TX 76508
TEMPLE, TX 76508
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 Michael Broderick's NPI number?
The NPI number for Michael Broderick is 1437736147. It was assigned to this individual provider in the NPPES registry on March 27, 2021.
Where is Michael Broderick located?
Michael Broderick practices at 2401 S 31st St # Ms 01e443, Temple, TX 76508. The listed phone number is (254) 724-0630.
What is Michael 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 Michael Broderick enrolled in Medicare?
Yes. Michael Broderick is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Michael Broderick was last updated on March 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Michael Timothy Broderick · NPI 1437736147
Student in an Organized Health Care Education/Training Program provider in Temple, Texas. Individual provider, active in the CMS NPPES registry since March 27, 2021.
## Identity
- **NPI:** 1437736147 (Entity type: Individual)
- **Enumerated:** March 27, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 2401 S 31ST ST # MS 01E443, Temple, TX 76508-0001
- **Phone:** (254) 724-0630
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 31, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1437736147) · Data from the CMS NPPES public registry.