DR. JOHN SCOTT BRODERICK M.D. NPI 1508939976

NPI Information

  • NPI: 1508939976
  • Provider Name: DR. JOHN SCOTT BRODERICK, M.D.
  • Classification: Psychiatry & Neurology - 2084N0600X
  • Specialization: Clinical Neurophysiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 13133 N PORT WASHINGTON RD
    SUITE G06
    MEQUON, WI
    ZIP 53097
  • Phone: (262) 243-8371

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NPI Details

DR. John Scott Broderick, M.D. is a clinical neurophysiology psychiatry neurology in Mequon, WI with 24 years of experience. The provider is clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). DR. John Scott Broderick, M.D. NPI is 1508939976. 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 WISCONSIN
Graduation Year:2002

The provider's business location address is:

13133 N PORT WASHINGTON RD
SUITE G06
MEQUON, WI
ZIP 53097-419
Phone: (262) 243-8371
Fax: (262) 243-8342

The NPI 1508939976 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.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Needle measurement of electrical activity in arm or leg muscles, complete study (HCPCS:95886)
  • Measurement of brain wave activity (eeg), awake and drowsy (HCPCS:95816)
  • Injection of trigger points, 3 or more muscles (HCPCS:20553)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Nerve conduction, 5-6 studies (HCPCS:95909)
  • Needle measurement of electrical activity in arm or leg muscles, complete study (HCPCS:95886)

The enumeration date for this NPI number is 11/15/2006 and was last updated on 6/8/2012.

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
12084N0600XPsychiatry & NeurologyClinical Neurophysiology46762-020WISCONSINYes

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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