Active NPI
Frances Anne Broddrick, M.D.
- Family Medicine Physician
- Carmichael, CA
National Provider Identifier
1649227885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G67019
- Practice address
- 4156 Manzanita Ave
Suite 100
Carmichael, CA 95608-1726 - Phone
- (916) 483-5400
- Fax
- (916) 483-1937
- NPI assigned
- May 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G67019 | CA | Primary |
Addresses
Primary practice location
4156 Manzanita Ave
Suite 100
Carmichael, CA 95608-1726
Mailing address
2350 E Bidwell St
Suite 100
Folsom, CA 95630-3455
Phone (916) 920-6337
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649227885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2350 E BIDWELL ST",
"address_2": "SUITE 100",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956303455",
"telephone_number": "916-920-6337",
"fax_number": "916-673-5916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4156 MANZANITA AVE",
"address_2": "SUITE 100",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956081726",
"telephone_number": "916-483-5400",
"fax_number": "916-483-1937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRODDRICK",
"first_name": "FRANCES",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G67019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carmichael, CA
- Brian a. McDowell Podiatry Corporation (Premier Podiatry and Orthopedics)
- Brian a. McDowell Podiatry Corporation (Premier Podiatry & Orthopedics)
- Brightoak Senior Living Inc
- Jamie Brinkley, N.D.
- Christina Brockman-Miller
- William George Bronston, MD
- Stephanie Lynn Brooks
- Brittani A Brothers, PA-C
- Bethany J Brown
- Ebony Katrese Brown
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.