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PATRICK THOMAS BRODERICK MD NPI 1760691083


NPI Information

NPI: 1760691083
Provider Name: PATRICK THOMAS BRODERICK, MD
Classification: Pediatrics - 2080P0202X
Entity Type: Individual

Specialization: Pediatric Cardiology

PECOS Registration: Yes

Address:
4700 WATERS AVE
2ND FLOOR, GEORGIA EAR
SAVANNAH, GA
ZIP 31404
Phone: (912) 988-5050
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Patrick Thomas Broderick, MD is a pediatric cardiology pediatrics in Savannah, GA with 19 years of experience. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. Patrick Thomas Broderick, MD NPI is 1760691083. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduation Year:2005

The provider's business location address is:

4700 WATERS AVE
2ND FLOOR, GEORGIA EAR
SAVANNAH, GA
ZIP 31404-220
Phone: (912) 988-5050

The NPI 1760691083 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/22/2007 and was last updated on 7/29/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics2008018932MISSOURINo
2208000000XPediatrics27983ALALABAMANo
32080P0202XPediatricsPediatric Cardiology065999GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.