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JOSEPH BRODERICK
NPI 1619447679
General Practice in San Antonio, TX

Active since December 03, 2018
3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234(210) 916-4141 Get Directions Write a Review

NPPES record last updated: August 10, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 10, 2023, Jul 6, 2021, Jun 30, 2021 and 1 more (4 updates tracked since 2018).

About Joseph Broderick NPPES

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

JOSEPH BRODERICK (NPI 1619447679) is an individual general practice provider in San Antonio, Texas, licensed in Texas (U1866) and active in the NPI registry since December 2018. He maintains a secondary practice location in Jbsa Lackland.

NPPES Registry Identity

NPI1619447679
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameJOSEPH BRODERICK
Location Address3551 ROGER BROOKE DRSan Antonio, TX 78234-4504
Mailing Address3551 Roger Brooke DrSan Antonio, TX 78234-4504 · (210) 916-4141
Phone(210) 916-4141
Sole ProprietorYes
Enumeration DateDecember 3, 2018
Last NPPES UpdateAugust 10, 20234 updates tracked since enumeration
NPPES CertifiedAugust 10, 2023
✔ NPI 1619447679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in TX · U1866
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

3551 ROGER BROOKE DR, San Antonio, TX 78234
Open in Google Maps ↗

Secondary Practice Location 1

Location 11100 Wilford Hall Loop Bldg 4554Jbsa Lackland, TX 78236-5638 · Phone (210) 916-0439

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.

JANET JONES SIMS CRNA
Nurse Anesthetist, Certified Registered
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Bexar County (253) 223-6272
JAMES KENNEDY HARDIN PA-C
Physician Assistant
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 78234
Bexar County (210) 295-4996
DR. DANIEL VICTOR-CALVIN HAMMOND M.D.
Pediatrics (Pediatric Endocrinology)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Bexar County (210) 916-3020
JESSICA FULLER LCSW
Social Worker (Clinical)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Bexar County (210) 808-1859
DR. JASON ROBERT HALL M.D.
Neurological Surgery
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Bexar County (210) 539-9582
MRS. KATHRYN ELAINE HELLAND LCSW
Social Worker (Clinical)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Bexar County (210) 539-9582
DR. HALWARD BLEGEN IV DO
Ophthalmology
3551 ROGER BROOKE DR
JBSA FORT SAM HOUSTON, TX 78234
Bexar County (210) 220-7419
KOLE HOLLAND SPAULDING M.D.
Emergency Medicine (Emergency Medical Services)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Bexar County (210) 539-9582

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 Joseph Broderick's NPI number?

The NPI number for Joseph Broderick is 1619447679. It was assigned to this individual provider in the NPPES registry on December 3, 2018.

Where is Joseph Broderick located?

Joseph Broderick practices at 3551 Roger Brooke Dr, San Antonio, TX 78234. The listed phone number is (210) 916-4141.

What is Joseph Broderick's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Joseph Broderick was last updated on August 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.