James Edward Broderick in Canandaigua - Foot Surgery
James Edward Broderick - NPI 1093726473
James Edward Broderick is a Foot Surgery in Canandaigua, New York. James Edward Broderick practices all healthcare services and medical treatments related to Foot Surgery. The NPI Number for James Edward Broderick is 1093726473. The last update date is 2016-11-22.
James Edward Broderick's current location address is 470 S Pearl St, Canandaigua, New York. You can contact this provider via phone number 5853944070 and fax number 5853948563. The mailing address for James Edward Broderick is 470 S Pearl St, Canandaigua, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Edward Broderick |
|---|---|
| Address | 470 S Pearl St, Canandaigua, New York |
| Phone Number | 5853944070 |
| Fax Number | 5853948563 |
| Sole Proprietor | Y |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1093726473 |
|---|---|
| Provider Enumeration Date | 2006-08-10 |
| Last Updated Date | 2016-11-22 |
Provider Mailing Address Detail
| Address | 470 S Pearl St |
|---|---|
| City | Canandaigua |
| State | New York (NY) |
| Post Code | 14424 |
| Phone Number | 5853944070 |
| Fax Number | 5853948563 |
Provider's Primary Taxonomy Detail
| Speciality | Foot Surgery |
|---|---|
| Taxonomy | 213Es0131X |
| Licence No | N004540 |
|
Definition: A doctor of podiatric medicine who specializes in performing foot and ankle surgeries. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1158323 | NY | -- | |
| 8110 | NY | ROCHESTER BL SHIELD | |
| 480007845 | NY | RR MEDICARE |
Post Comment/ Review Below
What is the unique provider identifier assigned to James Edward Broderick?
The James Edward Broderick has been issued the NPI (National Provider Identifier) 1093726473 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where James Edward Broderick is physically located?
The James Edward Broderick is physically situated at the following address: 470 S Pearl St, Canandaigua, NY, 14424.
What is James Edward Broderick's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for James Edward Broderick is Foot Surgery, and the taxonomy code that categorizes this field of expertise is 213Es0131X.
On what date did the Centers for Medicare & Medicaid Services issue the 1093726473 to James Edward Broderick?
The James Edward Broderick received its 1093726473 assignment from the Centers for Medicare & Medicaid Services on 2006-08-10.
As of what date were the James Edward Broderick's details last updated?
The information pertaining to the James Edward Broderick, including its address, specialty, and other details, was most recently updated on 2016-11-22.
NPI Number: 1841293149
Address: Po Box 40908, Fayetteville, NC