Active NPI
Joseph Broderick, MD
- Neurology Physician
- Cincinnati, OH
National Provider Identifier
1609817642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 35 055278
- Practice address
- 3113 Bellevue Ave FL 3
Cincinnati, OH 45219-3158 - Phone
- (513) 475-8730
- Fax
- (513) 475-8033
- NPI assigned
- Jun 9, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Neurology Physician | 2084V0102X | 35 055278 | OH | |
| Neurology Physician | 2084N0400X | 35 055278 | OH | Primary |
Addresses
Primary practice location
3113 Bellevue Ave FL 3
Cincinnati, OH 45219-3158
Mailing address
3113 Bellevue Ave FL 3
Cincinnati, OH 45219-3158
Phone (513) 475-8730
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
- Neurology
- Education
- University of Cincinnati College of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
222 Piedmont Ave
Cincinnati, OH 45219-4231
Phone (513) 475-7855
Hospital & facility affiliations
- University of Cincinnati Medical Center, LLC
Merit-based Incentive Payment System (MIPS)
- Final score
- 82 of 100
- Quality
- 65.97
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.01
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35 055278 | OH | MD | Vascular Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Cincinnati Medical Center, LLC | Past | Accepting new patients | |
| University Neurology Inc | Neurology | Past | Accepting new patients |
| University of Cincinnati Medical Center, LLC | Past | Accepting new patients | |
| University of Cincinnati Physicians, Inc. | Neurology | Past | Accepting new patients |
Interoperability endpoints
- jbroderick13143@direct.uchealth.com
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Cincinnati, OH
- NPI 1801840434
IN
-
- Neurology Physician
- Cincinnati, OH
- NPI 1912929589
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1033154026
-
- Community/Retail Pharmacy
- Cincinnati, OH
- NPI 1669295721
-
- Internal Medicine Physician
- Cincinnati, OH
- NPI 1417108697
Neurology
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1033154026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617580800000",
"number": "1609817642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3113 BELLEVUE AVE FL 3",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452193158",
"telephone_number": "513-475-8730",
"fax_number": "513-475-8033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3113 BELLEVUE AVE FL 3",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452193158",
"telephone_number": "513-475-8730",
"fax_number": "513-475-8033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRODERICK",
"first_name": "JOSEPH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2021-04-05",
"certification_date": "2021-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084V0102X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": "OH",
"license": "35 055278",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OH",
"license": "35 055278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Apr 5, 2021; 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.