DR. HAL STUART BRODERSON M.D.
NPI 1740613124
General Practice in Wynnewood, PA

Q: What is Hal Broderson's NPI number?

The NPI number for Hal Broderson is 1740613124. It was assigned to this individual provider in the NPPES registry on August 20, 2013.

Q: What is Hal Broderson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Hal Broderson was last updated on August 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 August 20, 2013

1059 INDIAN CREEK RD, WYNNEWOOD, PA 19096(610) 642-0687 Get Directions Write a Review

NPPES record last updated: August 20, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Hal Stuart Broderson M.d. NPPES

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

DR. HAL STUART BRODERSON M.D. (NPI 1740613124) is an individual general practice provider in Wynnewood, Pennsylvania, licensed in Pennsylvania (MD032491E) and active in the NPI registry since August 2013.

NPPES Registry Identity

NPI1740613124

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. HAL STUART BRODERSONCredential: M.D.

Location Address1059 INDIAN CREEK RDWynnewood, PA 19096-3424

Mailing Address1059 Indian Creek RdWynnewood, PA 19096-3424

Phone(610) 642-0687

Sole ProprietorYes

Enumeration DateAugust 20, 2013

✔ NPI 1740613124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in PA · MD032491E

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

1059 INDIAN CREEK RD, Wynnewood, PA 19096

Open in Google Maps ↗

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 Hal Broderson's NPI number?

The NPI number for Hal Broderson is 1740613124. It was assigned to this individual provider in the NPPES registry on August 20, 2013.

Where is Hal Broderson located?

Hal Broderson practices at 1059 Indian Creek Rd, Wynnewood, PA 19096. The listed phone number is (610) 642-0687.

What is Hal Broderson'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 Hal Broderson was last updated on August 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.