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JAMES E. BRODERICK
NPI 1497074249
Podiatrist - Foot Surgery in Canandaigua, NY

Active since May 19, 2010
470 S PEARL ST, CANANDAIGUA, NY 14424(585) 394-4070(585) 394-8563 Get Directions Write a Review

NPPES record last updated: May 19, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About James E. Broderick NPPES

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

JAMES E. BRODERICK (NPI 1497074249) is a healthcare organization registered as a foot surgery in Canandaigua, New York and active in the NPI registry since May 2010. The organization lists James E Broderickd, Podiatrist, as its authorized official.

NPPES Registry Identity

NPI1497074249
Entity TypeOrganization
Primary Taxonomy213ES0131X
Legal Business NameJAMES E. BRODERICK
Location Address470 S PEARL STCanandaigua, NY 14424-1702
Mailing Address470 S Pearl StCanandaigua, NY 14424-1702 · (585) 394-4070 · Fax (585) 394-8563
Phone(585) 394-4070
Fax(585) 394-8563
Organization SubpartNo
Authorized OfficialJames E BroderickdPodiatrist · (585) 394-4070
Enumeration DateMay 19, 2010
✔ NPI 1497074249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
License✔ Licensed in NY · N004540
470 S PEARL ST, Canandaigua, NY 14424
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Other Identifiers 3

Medicare UPINT92375NY
Medicaid01158323NY
Medicare PIN51912BNY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

JAMES EDWARD BRODERICK DPM
Podiatrist (Foot Surgery)
470 S PEARL ST
CANANDAIGUA, NY 14424
Ontario County (585) 394-4070

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 James E. Broderick's NPI number?

The NPI number for James E. Broderick is 1497074249. It was assigned to this organization in the NPPES registry on May 19, 2010.

Where is James E. Broderick located?

James E. Broderick is located at 470 S Pearl St, Canandaigua, NY 14424. The listed phone number is (585) 394-4070.

What is James E. Broderick's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

When was this NPI record last updated?

The NPPES record for James E. Broderick was last updated on May 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.