MR. DEVERY GERARD BRODDIE LMT
NPI 1972649903
Massage Therapist in Hood River, OR

Q: What is Devery Broddie's NPI number?

The NPI number for Devery Broddie is 1972649903. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Q: What is Devery Broddie's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

Q: When was this NPI record last updated?

The NPPES record for Devery Broddie was last updated on August 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 January 29, 2007

315 OAK ST. STE 200, HOOD RIVER, OR 97031(541) 386-0009(541) 386-0029 Get Directions Write a Review

NPPES record last updated: August 31, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Devery Gerard Broddie Lmt NPPES

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

MR. DEVERY GERARD BRODDIE LMT (NPI 1972649903) is an individual massage therapist in Hood River, Oregon, licensed in Oregon (7291) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1972649903

Entity TypeIndividualMale

Primary Taxonomy225700000X

Provider Legal NameMR. DEVERY GERARD BRODDIECredential: LMT

Location Address315 OAK ST. STE 200Hood River, OR 97031

Mailing Address315 Oak St, Ste 200Hood River, OR 97031 · (541) 386-0009

Phone(541) 386-0009

Fax(541) 386-0029

Sole ProprietorYes

Enumeration DateJanuary 29, 2007

Last NPPES UpdateAugust 31, 2020

NPPES CertifiedAugust 31, 2020

✔ NPI 1972649903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225700000X

License✔ Licensed in OR · 7291

Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

Also ListedAdult CompanionTaxonomy 372600000X

315 OAK ST. STE 200, Hood River, OR 97031

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Other Identifiers 1

Medicaid1972649903OR

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 Devery Broddie's NPI number?

The NPI number for Devery Broddie is 1972649903. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Where is Devery Broddie located?

Devery Broddie practices at 315 Oak St. Ste 200, Hood River, OR 97031. The listed phone number is (541) 386-0009.

What is Devery Broddie's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Devery Broddie was last updated on August 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.