AMANDA ROSE BRODERICK MD
NPI 1659909034
Student in an Organized Health Care Education/Training Program in Durham, NC

Q: What is Amanda Broderick's NPI number?

The NPI number for Amanda Broderick is 1659909034. It was assigned to this individual provider in the NPPES registry on March 31, 2020.

Q: What is Amanda Broderick's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Amanda Broderick was last updated on March 31, 2020. 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.

Active since March 31, 2020PECOS Enrolled

2301 ERWIN RD, DURHAM, NC 27705(919) 684-8111 Get Directions Write a Review

NPPES record last updated: March 31, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Amanda Rose Broderick Md NPPES

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

AMANDA ROSE BRODERICK MD (NPI 1659909034) is an individual student in an organized health care education/training program in Durham, North Carolina and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659909034

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameAMANDA ROSE BRODERICKCredential: MD

Location Address2301 ERWIN RDDurham, NC 27705-4699

Mailing Address2301 Erwin RdDurham, NC 27705-4699 · (919) 684-8111

Phone(919) 684-8111

Sole ProprietorNo

Enumeration DateMarch 31, 2020

NPPES CertifiedMarch 31, 2020

✔ NPI 1659909034 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.

2301 ERWIN RD, Durham, NC 27705

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Rose Broderick Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

17 services17 patients

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.

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Radiology (Diagnostic Radiology)