Broderick Stefanik
Individual provider Active NPI Basic Emergency Medical Technician · Birchwood, WI
NPI 1487570404 · NPPES record last updated Jun 24, 2026
Key facts
- NPI
- 1487570404
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Basic Emergency Medical Technician 146N00000X
- License
- 70124316 (WI)
- Practice address
- N1910 Scout Rd
Birchwood, WI 54817-8906 - Phone
- (612) 261-2455
- NPI assigned
- Jun 24, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | 70124316 | WI | Yes |
Addresses
Primary practice location
N1910 Scout Rd
Birchwood, WI 54817-8906
Mailing address
N1910 Scout Rd
Birchwood, WI 54817-8906
Other providers in Birchwood, WI
- Roberta A Freitag
- Andrew Higley
- John M Kane
- Kathryn Langevin
- School District of Birchwood
- The Lakes Community Health Center, Inc
- Danielle Vanark
All providers in Birchwood, WI · Basic Emergency Medical Technician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.