Active NPI
Stephen Robert Broderick, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- D80914
- Practice address
- 601 N Caroline St FL 8
Baltimore, MD 21287-0006 - Phone
- (443) 997-1508
- Fax
- (443) 769-1242
- NPI assigned
- Jun 3, 2008
- Last updated
- Apr 10, 2025
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 2012013459 | MO | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | MD043771 | DC | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 2012013459 | MO | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | D80914 | MD | Primary |
Addresses
Primary practice location
601 N Caroline St FL 8
Baltimore, MD 21287-0006
Mailing address
6201 Greenleigh Ave
Baltimore, MD 21220-2004
Phone (410) 933-6423
Other practice location 1
222 S Woods Mill Rd
550N
Chesterfield, MO 63017-3625
Phone (314) 434-3049
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- 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
- Thoracic Surgery
- Education
- Georgetown University School of Medicine, 2003
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5255 Loughboro Rd NW
Washington, DC 20016-2633
Phone (202) 660-6500
600 N Wolf St
Baltimore, MD 21287-0005
Phone (410) 955-5000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.31 of 100
- Quality
- 73.89
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.47
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D80914 | MD | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Surgery | Current | Accepting new patients |
| Johns Hopkins University | Current | Accepting new patients | |
| Cardiothoracic Surgery, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
5255 Loughboro Rd NW
Washington, DC 20016
Phone (202) 243-2280
600 N Wolfe St
Baltimore, MD 21287
600 N Wolfe St
#240
Baltimore, MD 21287
Phone (410) 614-3891
601 N Caroline St
Fl 8
Baltimore, MD 21287
Phone (410) 955-5933
6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704
Interoperability endpoints
- sbroderick249721@direct.hopkinsmedicine.org
Organizations & group practices 7
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.
-
dba Jhu - Transplant/Vascular Surgery
- Transplant Surgery Physician
- Baltimore, MD
- NPI 1124009758
DC
-
dba Jhu - Anesthesia Pain MGMT
- Pain Medicine (Anesthesiology) Physician
- Baltimore, MD
- NPI 1922008549
-
dba JHU - 4692 Millennium Drive - Physician
- Ophthalmology Physician
- Belcamp, MD
- NPI 1376342774
-
dba JHU - 6849 Old Dominion Drive - Physician
- Neurology Physician
- McLean, VA
- NPI 1598552226
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Chesterfield, MO
- NPI 1104895812
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1790700904
-
dba Johns Hopkins Bayview Care Center
- Chronic Disease Hospital
- Baltimore, MD
- NPI 1336251412
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1578597993
-
dba Sibley Memorial Hospital
- General Acute Care Hospital
- Washington, DC
- NPI 1366492977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744243200000",
"number": "1699934828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6201 GREENLEIGH AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212202004",
"telephone_number": "410-933-6423",
"fax_number": "410-500-4266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 N CAROLINE ST FL 8",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212870006",
"telephone_number": "443-997-1508",
"fax_number": "443-769-1242"
}
],
"practiceLocations": [
{
"address_1": "222 S Woods Mill Rd",
"address_2": "550N",
"address_purpose": "LOCATION",
"city": "Chesterfield",
"state": "MO",
"postal_code": "630173625",
"country_code": "US",
"telephone_number": "314-434-3049",
"fax_number": "314-205-6916",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRODERICK",
"first_name": "STEPHEN",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-03",
"last_updated": "2025-04-10",
"certification_date": "2025-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MO",
"license": "2012013459",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "DC",
"license": "MD043771",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "MO",
"license": "2012013459",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "MD",
"license": "D80914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.