James E. Broderick

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

N004540 Issued in NY

Legal business name

JAMES E. BRODERICK

Practice address

470 S Pearl St
Canandaigua, NY 14424-1702

Phone

(585) 394-4070

Fax

(585) 394-8563

NPI assigned

May 19, 2010

Organization subpart

No

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

Authorized official

Name

James E Broderickd, DPM

Title

Podiatrist

Phone

(585) 394-4070

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Edward Broderick, DPM

  • Foot Surgery Podiatrist
  • Canandaigua, NY
  • NPI 1093726473

  Foot Surgery

  NPD (past)
• Jeffrey Clarke Long, M.D.

  • Family Medicine Physician
  • Naples, NY
  • NPI 1376561910
  NPD (past)

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

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274227200000",
    "number": "1497074249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 S PEARL ST",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241702",
            "telephone_number": "585-394-4070",
            "fax_number": "585-394-8563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 S PEARL ST",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241702",
            "telephone_number": "585-394-4070",
            "fax_number": "585-394-8563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES E. BRODERICK",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-19",
        "last_updated": "2010-05-19",
        "status": "A",
        "authorized_official_last_name": "BRODERICKD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "585-394-4070",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N004540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01158323",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hilary Frances-Blair Jablonski, DPT
• Holly Jean Jackson, LPN
• Richard Jacobsen, OCCUPATIONAL THERAPI
• Marc Jacobson, PA
• Amy Jacoby, PTA
• Mathew Janczak, PT, DPT
• Germain Jean-Charles, DDS,MS
• Misselle Lavonne Jeffcoat, LPMHC, LPC, MS
• Elizabeth A Jeffery, LCSW
• Morgan Renee Jeneault, COTA/L

• All providers in Canandaigua, NY
• Foot Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.