JENIFER ARLENE BRODERICK-THOMAS M.D. NPI 1457357279

NPI Information

  • NPI: 1457357279
  • Provider Name: JENIFER ARLENE BRODERICK-THOMAS, M.D.
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6300 W PARKER RD
    STE 325
    PLANO, TX
    ZIP 75093
  • Phone: (972) 981-8088

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NPI Details

Jenifer Arlene Broderick-thomas, M.D. is an obstetrics gynecology in Plano, TX. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Jenifer Arlene Broderick-thomas, M.D. NPI is 1457357279. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6300 W PARKER RD
STE 325
PLANO, TX
ZIP 75093-103
Phone: (972) 981-8088

The NPI 1457357279 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 6/27/2005 and was last updated on 5/15/2008.

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
1207VG0400XObstetrics & GynecologyGynecologyK4001TEXASNo
2207VM0101XObstetrics & GynecologyMaternal & Fetal MedicineK4001TEXASNo
3207VX0000XObstetrics & GynecologyObstetricsK4001TEXASNo
4207V00000XObstetrics & GynecologyK4001TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18M0810OTHERTEXASBCBS
2G58576MEDICARE UPIN
38F2725MEDICARE PINTEXAS

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: 11/21/2025

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