MARY E BRADDOCK MD - NPI 1730189226 - Pediatrics in Saint Paul, MN

Q: What is Mary Braddock's NPI number?

The NPI number for Mary Braddock is 1730189226. It was assigned to this individual provider in the NPPES registry on July 26, 2005.

Q: What is Mary Braddock's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Braddock was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mary E Braddock Md NPPES

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

MARY E BRADDOCK MD (NPI 1730189226) is an individual pediatrics provider in Saint Paul, Minnesota, licensed in Minnesota (35350) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1730189226

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMARY E BRADDOCKCredential: MD

Location Address347 SMITH AVE NSaint Paul, MN 55102-2387

Mailing Address2910 Centre Pointe DrRoseville, MN 55113-1182 · (651) 855-2327 · Fax (651) 855-2310

Phone(651) 220-6789

Fax(651) 220-6807

Sole ProprietorNo

Enumeration DateJuly 26, 2005

Last NPPES UpdateJuly 13, 2026

✔ NPI 1730189226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MN · 35350

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

347 SMITH AVE N, Saint Paul, MN 55102

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