Broderick Allan

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

211 N Saginaw Rd
Midland, MI 48640-3350

Phone

(989) 495-8999

Fax

(989) 423-1525

NPI assigned

Aug 24, 2018

Last updated

Dec 5, 2022By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Tracey M . Allan PHD, LLC

  • Adult Mental Health Clinic/Center
  • Midland, MI
  • NPI 1750191953
  NPD
• Tracey M. Allan, PH.D., LLC

  • Adult Mental Health Clinic/Center
  • Midland, MI
  • NPI 1265260988
  NPD

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

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1679054977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 E 120TH ST APT 4",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061982",
            "telephone_number": "989-751-6325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N SAGINAW RD",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486403350",
            "telephone_number": "989-495-8999",
            "fax_number": "989-423-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLAN",
        "first_name": "BRODERICK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-24",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Anne Alexander
• Nicole Lynn Alexander, MS, CAADC-DP
• Zachary Alexander
• Samer Ahmad Ali-Hasan, M.D.
• Ishani Ali, MD
• Tracey M Allan, PH.D.
• Ava Allen
• Britney Allen, LLMSW
• James D Allen, CCAR
• Janet Allen, RN BSN CBIS

• Clinical Social Worker in Midland, MI
• Providers in Midland, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.