MANDY IRENE BRODERICK
NPI 1497018014
Military Health Care Provider - Independent Duty Corpsman in Fpo, AE

Q: What is Mandy Broderick's NPI number?

The NPI number for Mandy Broderick is 1497018014. It was assigned to this individual provider in the NPPES registry on June 19, 2012.

Q: What is Mandy Broderick's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

Q: When was this NPI record last updated?

The NPPES record for Mandy Broderick was last updated on June 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 June 19, 2012

USS JASON DUNHAM DDG 109, FPO, AE 09567(757) 445-6115 Get Directions Write a Review

NPPES record last updated: June 19, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mandy Irene Broderick NPPES

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

MANDY IRENE BRODERICK (NPI 1497018014) is an individual independent duty corpsman provider in Fpo, AE and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1497018014

Entity TypeIndividualFemale

Primary Taxonomy1710I1002X

Provider Legal NameMANDY IRENE BRODERICK

Location AddressUSS JASON DUNHAM DDG 109Fpo, AE 09567-1303

Mailing AddressUss Jason Dunham Ddg 109Fpo, AE 09567-1303

Phone(757) 445-6115

Sole ProprietorNo

Enumeration DateJune 19, 2012

✔ NPI 1497018014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers

Taxonomy Code1710I1002X

Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

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 Mandy Broderick's NPI number?

The NPI number for Mandy Broderick is 1497018014. It was assigned to this individual provider in the NPPES registry on June 19, 2012.

Where is Mandy Broderick located?

Mandy Broderick practices at Uss Jason Dunham Ddg 109, Fpo, AE 09567. The listed phone number is (757) 445-6115.

What is Mandy Broderick's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Mandy Broderick was last updated on June 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.