MR. Jerome Daniel Broderick P.T.

  • NPI 1881691962
According to our database, the NPI number for MR. Jerome Daniel Broderick P.T. is 1881691962 and activated since 18 years ago. MR. Jerome Daniel Broderick P.T. is an individual provider who specializes in Physical Therapist, and the primary practice location is 2911 Knapp St Ne, Grand Rapids, MI 49525. You can also contact MR. Jerome Daniel Broderick P.T. via telephone number is (616) 975-9078. Provider NPI information was last updated on 03/12/2012.

Recently Active NPIs

Overview of MR. Jerome Daniel Broderick P.T.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 07/05/2005
  • Last updated: 03/12/2012

Primary Scrop of Practice

  • Taxonomy Code: 225100000X
  • Specialty: Physical Therapist
  • License Number: 5501010335
  • License State: MI

Provider Mailing Address

  • Address: 2911 Knapp St Ne
    Suite C
    Grand Rapids, MI 49525
  • Phone: 616-975-9078
  • Fax: 616-975-9248

Provider Practice Location

  • Address: 2911 Knapp St Ne
    Suite C
    Grand Rapids, MI 49525
  • Phone: 616-975-9078
  • Fax: 616-975-9248

Scope of Practice

  • Taxonomy Code: 225100000X
  • Specialty: Physical Therapist
  • License Number: 5501010335
  • License State: MI
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 650D113250
  • Identifier Type: Other
  • Identifier State: MI
  • Issuer: BLUE CROSS BLUE SHIELD ID

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for MR. Jerome Daniel Broderick P.T.?
  • A: The npi number for MR. Jerome Daniel Broderick P.T. is 1881691962.
  • Q: What are MR. Jerome Daniel Broderick P.T.'s specialties?
  • A: MR. Jerome Daniel Broderick P.T.'s specialties are Physical Therapist and different specialities.
  • Q: What is the medical license for MR. Jerome Daniel Broderick P.T.?
  • A: The medical license number for MR. Jerome Daniel Broderick P.T. is 5501010335 and issued in MI in USA.
  • Q: Where is MR. Jerome Daniel Broderick P.T. practice location?
  • A: MR. Jerome Daniel Broderick P.T. is practicing at 2911 Knapp St Ne, Grand Rapids, MI 49525.
  • Q: How to contact MR. Jerome Daniel Broderick P.T.?
  • A: You can contact MR. Jerome Daniel Broderick P.T. via 616-975-9078.