MR. BRODERICK ALLEN SHEARD C-NP NPI 1073865499

NPI Information

  • NPI: 1073865499
  • Provider Name: MR. BRODERICK ALLEN SHEARD, C-NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 311 E SPRUCE ST
    GARDEN CITY, KS
    ZIP 67846
  • Phone: (620) 275-3030

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NPI Details

MR. Broderick Allen Sheard, C-NP is a family nurse practitioner in Garden City, KS with 6 years of experience. MR. Broderick Allen Sheard, C-NP NPI is 1073865499. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

311 E SPRUCE ST
GARDEN CITY, KS
ZIP 67846-614
Phone: (620) 275-3030
Fax: (620) 275-3025

The NPI 1073865499 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Replacement of knee joint, both sides of knee (HCPCS:27447)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • X-ray of knee, 3 views (HCPCS:73562)

The enumeration date for this NPI number is 10/9/2012 and was last updated on 8/4/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily80285KANSASYes
2363LF0000XNurse PractitionerFamily53-80285-061KANSASNo
3111N00000XChiropractorCHR.0006904COLORADONo

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: 3/30/2025

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