George Steven Broderick, D.O.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

34007182 Issued in OH

Practice address

5500 Verulam Ave
Cincinnati, OH 45213-2418

Phone

(440) 523-9966

Fax

(216) 584-2895

NPI assigned

Dec 16, 2006

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

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.

• George S Broderick D.O. Inc.

  dba Greater Cincinnati Psychiatric and Counseling Center

  • Child & Adolescent Psychiatry Physician
  • Cincinnati, OH
  • NPI 1518011998
  NPD (past)
• Highland District Hospital Professional Services Corporation

  • Family Medicine Physician
  • Hillsboro, OH
  • NPI 1205893351

  Psychiatry

  NPD (past)
• Psychiatric Professional Services

  • Psychiatry Physician
  • Cincinnati, OH
  • NPI 1447343306
  NPD (past)

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

{
    "created_epoch": "1166227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1578625208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 PARKER RUN RD",
            "city": "NEW RICHMOND",
            "state": "OH",
            "postal_code": "451578101",
            "telephone_number": "513-553-0414",
            "fax_number": "513-553-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 VERULAM AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452132418",
            "telephone_number": "440-523-9966",
            "fax_number": "216-584-2895"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4030 Mount Carmel Tobasco Rd",
            "address_2": "Suite 314",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452553400",
            "country_code": "US",
            "telephone_number": "513-528-9200",
            "fax_number": "513-528-9202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRODERICK",
        "first_name": "GEORGE",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "34007182",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OH",
            "license": "34007182",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578625208",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David M Brodbeck, PA-C
• Matthew Brodbeck
• Steven S Brodbeck, LMT
• Kathleen Anne Broderick-Forsgren, M.D.
• Erin Broderick
• Joseph Broderick, MD
• Kara Lee Broderick
• Matthew Cullen Broderick, M.D.
• Richard Foster Broderick
• Thomas Broderick, M.D.

• Psychiatry Physician in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.