Individual provider Active NPI

Broderick C Howard, DO

  • Sports Medicine (Family Medicine) Physician
  • Gilbert, AZ
National Provider Identifier
1396183158
Registry record updated Dec 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
007287 Issued in AZ
Practice address
155 E Warner Rd
Gilbert, AZ 85296-3082
Phone
(480) 543-6700
Fax
(480) 649-6800
NPI assigned
Jun 13, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 007287 AZ Primary

Addresses

Primary practice location

155 E Warner Rd
Gilbert, AZ 85296-3082

Mailing address

155 E Warner Rd
Gilbert, AZ 85296-3082
Phone (480) 543-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170717003032 AZ Practitioner - Family PracticePractitioner - Sports Medicine 2264673862 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10401 W Thunderbird Blvd
Sun City, AZ 85351-3004
Phone (623) 832-4000

155 E Warner Rd
Gilbert, AZ 85296-3082
Phone (480) 649-6600

9165 W Thunderbird Rd
Suite 200
Peoria, AZ 85381-4847
Phone (623) 285-1120

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
007287AZMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Physician Specialists Arizona LLC CurrentSince May 7, 2018 Accepting new patients
Banner Hospital Based Physicians Arizona LLC Current Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Aug 1, 2017 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Aug 1, 2017 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Apr 1, 2020 Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince May 7, 2018 Accepting new patients
Banner Cancer Center Specialists LLC CurrentSince Apr 1, 2020 Accepting new patients
Banner Cancer Center Specialists LLC CurrentSince Apr 1, 2020 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Apr 1, 2020 Accepting new patients

Locations (25 of 26)

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

1811 E McMurray Blvd
Casa Grande, AZ 85122
Phone (520) 374-2090

1676 E McMurray Blvd
Ste 1
Casa Grande, AZ 85122
Phone (520) 316-0688

3000 N Arizona Ave
Chandler, AZ 85225
Phone (480) 355-1575

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

1920 N Higley Rd
Ste 306
Gilbert, AZ 85234
Phone (480) 543-2606

2946 E Banner Gateway Dr
Gilbert, AZ 85234
Phone (480) 256-5450

1920 N Higley Rd
Ste 206
Gilbert, AZ 85234
Phone (480) 543-6700

155 E Warner Rd
Gilbert, AZ 85296
Phone (480) 649-6600

17900 N Porter Rd
Maricopa, AZ 85138
Phone (520) 233-2500

1432 S Dobson Rd
Ste 304
Mesa, AZ 85202
Phone (480) 412-7400

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

120 E Main St
Ste A
Payson, AZ 85541
Phone (928) 474-9744

13640 N Plaza del Rio Blvd
Peoria, AZ 85381
Phone (623) 876-3800

9165 W Thunderbird Rd
Ste 200
Peoria, AZ 85381
Phone (623) 285-1120

755 E McDowell Rd
Ste B
Phoenix, AZ 85006

1300 N 12th St
Ste 508
Phoenix, AZ 85006
Phone (602) 839-3927

1320 N 10th St
Ste B
Phoenix, AZ 85006
Phone (602) 631-3181

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

755 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 271-5111

37000 N Gantzel Rd
San Tan Valley, AZ 85140
Phone (480) 394-4000

35945 N Gary Rd
San Tan Valley, AZ 85143
Phone (480) 827-5750

10330 N Scottsdale Rd
Ste 25
Scottsdale, AZ 85253
Phone (602) 255-7625

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765065600000",
    "number": "1396183158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 E WARNER RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963082",
            "telephone_number": "480-543-6700",
            "fax_number": "480-649-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 E WARNER RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963082",
            "telephone_number": "480-543-6700",
            "fax_number": "480-649-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "BRODERICK",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-13",
        "last_updated": "2025-12-07",
        "certification_date": "2025-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "AZ",
            "license": "007287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.