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BRODERICH ALEXANDER DURLEY
NPI 1609415116
Student in an Organized Health Care Education/Training Program in Riverside, CA

Active since December 31, 2019
14235 OAKLEY DR, RIVERSIDE, CA 92503(951) 231-3916 Get Directions Write a Review

NPPES record last updated: December 31, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Broderich Alexander Durley NPPES

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

BRODERICH ALEXANDER DURLEY (NPI 1609415116) is an individual student in an organized health care education/training program in Riverside, California and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1609415116
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRODERICH ALEXANDER DURLEY
Location Address14235 OAKLEY DRRiverside, CA 92503-7236
Mailing Address14235 Oakley DrRiverside, CA 92503-7236
Phone(951) 231-3916
Sole ProprietorYes
Enumeration DateDecember 31, 2019
✔ NPI 1609415116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
14235 OAKLEY DR, Riverside, CA 92503
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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 Broderich Durley's NPI number?

The NPI number for Broderich Durley is 1609415116. It was assigned to this individual provider in the NPPES registry on December 31, 2019.

Where is Broderich Durley located?

Broderich Durley practices at 14235 Oakley Dr, Riverside, CA 92503. The listed phone number is (951) 231-3916.

What is Broderich Durley's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Broderich Durley was last updated on December 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.