According to our database, the NPI number for Rusty Broderick is 1346430014 and activated since 16 years ago. Rusty Broderick is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 28545 Highway 18, Skyforest, CA 92385. You can also contact Rusty Broderick via telephone number is (909) 336-1800. Provider NPI information was last updated on 07/30/2007.

Recently Active NPIs

Overview of Rusty Broderick

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 07/30/2007
  • Last updated: 07/30/2007

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: RI-B0508181010
  • License State: CA

Provider Mailing Address

  • Address: Po Box 578
    Skyforest, CA 92385
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 28545 Highway 18
    Skyforest, CA 92385
  • Phone: 909-336-1800
  • Fax:

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: RI-B050818
  • License State: CA
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 3595
  • Identifier Type: Other
  • Identifier State: CA
  • Issuer: SIMON

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 Rusty Broderick?
  • A: The npi number for Rusty Broderick is 1346430014.
  • Q: What are Rusty Broderick's specialties?
  • A: Rusty Broderick's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for Rusty Broderick?
  • A: The medical license number for Rusty Broderick is RI-B0508181010 and issued in CA in USA.
  • Q: Where is Rusty Broderick practice location?
  • A: Rusty Broderick is practicing at 28545 Highway 18, Skyforest, CA 92385.
  • Q: How to contact Rusty Broderick?
  • A: You can contact Rusty Broderick via 909-336-1800.