VICKIE SUE BRODERICK PA
NPI 1700902665
Physician Assistant - Medical in Galveston, TX
About Vickie Sue Broderick Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VICKIE SUE BRODERICK PA (NPI 1700902665) is an individual medical provider in Galveston, Texas, licensed in Texas (PA00728) and active in the NPI registry since March 2007.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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.
GALVESTON, TX 77555
GALVESTON, TX 77555
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 Vickie Broderick's NPI number?
The NPI number for Vickie Broderick is 1700902665. It was assigned to this individual provider in the NPPES registry on March 22, 2007.
Where is Vickie Broderick located?
Vickie Broderick practices at 301 University Blvd, Galveston, TX 77555. The listed phone number is (409) 772-2222.
What is Vickie Broderick's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
When was this NPI record last updated?
The NPPES record for Vickie Broderick was last updated on May 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Vickie Sue Broderick, PA · NPI 1700902665
Medical physician in Galveston, Texas. Individual provider, active in the CMS NPPES registry since March 22, 2007.
## Identity
- **NPI:** 1700902665 (Entity type: Individual)
- **Enumerated:** March 22, 2007
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** PA00728 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 301 UNIVERSITY BLVD, Galveston, TX 77555-5302
- **Phone:** (409) 772-2222
## Record status
- **NPPES last updated:** May 18, 2009
- **Other identifiers:** Medicare UPIN S75961 (TX); Medicare ID-Type Unspecified 83N401 (TX); Medicaid 181081401 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1700902665) · Data from the CMS NPPES public registry.