Active NPI
Thomas Broderick, M.D.
- Interventional Cardiology Physician
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 35.057828
- Practice address
- 2123 Auburn Ave
Suite 136
Cincinnati, OH 45219-2906 - Phone
- (513) 206-1060
- Fax
- (513) 206-1062
- NPI assigned
- Dec 30, 2005
- Last updated
- Mar 13, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 35057828 | OH | |
| Cardiovascular Disease Physician | 207RC0000X | 01033468A | IN | |
| Interventional Cardiology Physician | 207RI0011X | 35.057828 | OH | Primary |
Addresses
Primary practice location
2123 Auburn Ave
Suite 136
Cincinnati, OH 45219-2906
Mailing address
237 William Howard Taft Rd
2ND Floor, Cbo2-3
Cincinnati, OH 45219-2610
Phone (513) 206-1060
Other practice location 1
321 Mitchell Ave
Batesville, IN 47006-8909
Phone (812) 934-6624
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tbroderick2062@direct.thechristhospital.com | Direct | |
| Direct Messaging Address | Thomas.Broderick@mmhealth.cernerdirect.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- University of Cincinnati College of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2123 Auburn Ave
Suite 136
Cincinnati, OH 45219-2906
Phone (513) 721-8881
2139 Auburn Ave
Cincinnati, OH 45219-2906
321 Mitchell Ave
Batesville, IN 47006-8909
Phone (812) 933-5110
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35057828 | OH | MD | Cardiovascular Disease Physician |
| 35.057828 | OH | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Isis Medical, Incorporated | Current | Accepting new patients | |
| Margaret Mary Community Hospital, Inc | Current | Accepting new patients | |
| Margaret Mary Community Hospital, Inc | Current | Accepting new patients | |
| St Elizabeth Medical Center, Inc | Cardiovascular Disease | Current | Accepting new patients |
| Henry County Memorial Hospital | Current | Accepting new patients | |
| The Christ Hospital Cardiovascular Associates LLC | Cardiovascular Disease | Current | Accepting new patients |
| Margaret Mary Community Hospital Inc | Current | Accepting new patients | |
| Ohvc Associates, LLC | Cardiovascular Disease | Past | Accepting new patients |
| Christ Hospital Cardiology Assoc | Cardiovascular Disease | Past | Accepting new patients |
| Ohio Heart and Vascular Center, Inc | Cardiovascular Disease | Past | Accepting new patients |
| Somc Medical Care Foundation, Inc. | Past | Accepting new patients |
Locations
321 Mitchell Ave
Batesville, IN 47006
Phone (812) 933-5018
600 Wilson Creek Rd
Lawrenceburg, IN 47025
Phone (812) 532-2700
98 Elm St
Lawrenceburg, IN 47025
Phone (812) 496-8775
2123 Auburn Ave
Ste 136
Cincinnati, OH 45219
Phone (513) 206-1060
2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406
2454 Kipling Ave
Ste G20
Cincinnati, OH 45239
Phone (513) 541-0700
10506 Montgomery Rd
Ste 504
Montgomery, OH 45242
Phone (513) 221-3800
Interoperability endpoints
- thomas.broderick@mmhealth.cernerdirect.com
- thomas.broderick2@mmhealth.cernerdirect.com
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Cardiovascular Disease Physician
- Cincinnati, OH
- NPI 1497901458
IN
-
dba Margaret Mary Health
- Critical Access Hospital
- Batesville, IN
- NPI 1558368449
-
dba St Elizabeth Dearborn
- General Acute Care Hospital
- Lawrenceburg, IN
- NPI 1326142498
Cardiovascular Disease
-
- Physiological Laboratory
- Miamisburg, OH
- NPI 1114923976
-
dba Alpha Home - A Waters Community
- Skilled Nursing Facility
- Indianapolis, IN
- NPI 1376662395
-
dba Margaret Mary Health Center of Brookville
- Rural Health Clinic/Center
- Brookville, IN
- NPI 1164132510
-
- Internal Medicine Physician
- Batesville, IN
- NPI 1316118730
-
- Cardiovascular Disease Physician
- Cincinnati, OH
- NPI 1356392070
-
- Cardiovascular Disease Physician
- Cincinnati, OH
- NPI 1003871567
-
dba Somc Radiology Associates
- Diagnostic Radiology Physician
- Portsmouth, OH
- NPI 1366686230
-
- Cardiovascular Disease Physician
- Jersey City, NJ
- NPI 1285771345
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Margaret Mary Health
- Critical Access Hospital
- Batesville, IN
- NPI 1558368449
-
dba St Elizabeth Dearborn
- General Acute Care Hospital
- Lawrenceburg, IN
- NPI 1326142498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710288000000",
"number": "1396722252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "237 WILLIAM HOWARD TAFT RD",
"address_2": "2ND FLOOR, CBO2-3",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452192610",
"telephone_number": "513-206-1060",
"fax_number": "513-206-1062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2123 AUBURN AVE",
"address_2": "SUITE 136",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452192906",
"telephone_number": "513-206-1060",
"fax_number": "513-206-1062"
}
],
"practiceLocations": [
{
"address_1": "321 Mitchell Ave",
"address_purpose": "LOCATION",
"city": "Batesville",
"state": "IN",
"postal_code": "470068909",
"country_code": "US",
"telephone_number": "812-934-6624",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRODERICK",
"first_name": "THOMAS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-30",
"last_updated": "2024-03-13",
"certification_date": "2024-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "OH",
"license": "35057828",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IN",
"license": "01033468A",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "OH",
"license": "35.057828",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tbroderick2062@direct.thechristhospital.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2123 Auburn Ave",
"address_2": "Suite 136",
"city": "Cincinnati",
"state": "OH",
"country_code": "US",
"postal_code": "452192906",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Thomas.Broderick@mmhealth.cernerdirect.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "321 Mitchell Ave",
"city": "Batesville",
"state": "IN",
"country_code": "US",
"postal_code": "470068909",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.