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MADISON MACKENZIE BRODERICK
NPI 1740910868
Student in an Organized Health Care Education/Training Program in Springfield, MO

Active since June 13, 2022
901 S NATIONAL AVE # PROF160, SPRINGFIELD, MO 65897(417) 836-8553 Get Directions Write a Review

NPPES record last updated: June 16, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Madison Mackenzie Broderick NPPES

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

MADISON MACKENZIE BRODERICK (NPI 1740910868) is an individual student in an organized health care education/training program in Springfield, Missouri and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1740910868
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMADISON MACKENZIE BRODERICK
Location Address901 S NATIONAL AVE # PROF160Springfield, MO 65897-0027
Mailing Address5203 Patterson RdSaint Louis, MO 63129-2443 · (636) 692-3857
Phone(417) 836-8553
Sole ProprietorYes
Enumeration DateJune 13, 2022
Last NPPES UpdateJune 16, 2022
NPPES CertifiedJune 16, 2022
✔ NPI 1740910868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
901 S NATIONAL AVE # PROF160, Springfield, MO 65897
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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.

WILLIAM BOAZ BURNEY
Student in an Organized Health Care Education/Training Program
901 S NATIONAL AVE # PROF160
SPRINGFIELD, MO 65897
Greene County (417) 836-8553
ZOE MASON
Specialist/Technologist (Athletic Trainer)
901 S NATIONAL AVE # PROF160
SPRINGFIELD, MO 65897
Greene County (417) 836-8553
KATELYN MARIE SCHIEFFER
Student in an Organized Health Care Education/Training Program
901 S NATIONAL AVE # PROF160
SPRINGFIELD, MO 65897
Greene County (417) 836-8553
MISS ARIANNA M MYERS
Specialist/Technologist (Athletic Trainer)
901 S NATIONAL AVE # PROF160
SPRINGFIELD, MO 65897
Greene County (816) 739-1621
SARAH FRINGER
Student in an Organized Health Care Education/Training Program
901 S NATIONAL AVE # PROF160
SPRINGFIELD, MO 65897
Greene County (417) 836-8553
GRACE KELTNER
Student in an Organized Health Care Education/Training Program
901 S NATIONAL AVE # PROF160
SPRINGFIELD, MO 65897
Greene County (816) 547-7617
COOPER LEWIS
Student in an Organized Health Care Education/Training Program
901 S NATIONAL AVE # PROF160
SPRINGFIELD, MO 65897
Greene County (417) 836-5000
EDGARDO ANDRES SOTO RAMIREZ
Student in an Organized Health Care Education/Training Program
901 S NATIONAL AVE # PROF160
SPRINGFIELD, MO 65897
Greene County (417) 836-8553

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 Madison Broderick's NPI number?

The NPI number for Madison Broderick is 1740910868. It was assigned to this individual provider in the NPPES registry on June 13, 2022.

Where is Madison Broderick located?

Madison Broderick practices at 901 S National Ave # Prof160, Springfield, MO 65897. The listed phone number is (417) 836-8553.

What is Madison Broderick's specialty?

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

When was this NPI record last updated?

The NPPES record for Madison Broderick was last updated on June 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.