Active NPI
Broderick President, M.A.
- Professional Counselor
- Warrington, PA
National Provider Identifier
1730693383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 1432 Easton Rd Ste 2C
Warrington, PA 18976-2852 - Phone
- (215) 491-7570
- NPI assigned
- Nov 17, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
1432 Easton Rd Ste 2C
Warrington, PA 18976-2852
Mailing address
702 Chelten Hills Dr
Elkins Park, PA 19027-1302
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)
- Not enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David a. Nover, M.D., P.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychiatry Physician
- Warrington, PA
- NPI 1730247586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510876800000",
"number": "1730693383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 CHELTEN HILLS DR",
"city": "ELKINS PARK",
"state": "PA",
"postal_code": "190271302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1432 EASTON RD STE 2C",
"city": "WARRINGTON",
"state": "PA",
"postal_code": "189762852",
"telephone_number": "215-491-7570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESIDENT",
"first_name": "BRODERICK",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-17",
"last_updated": "2017-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warrington, PA
- Polaris Pharmacy Services of Warrington LLC
- Polaris Pharmacy Services of Warrington, LLC
- Polaris Pharmacy Services of Warrington, LLC
- Polaris Pharmacy Services of Warrington, LLC
- Emma Pole
- Traci Lynn Princevalli-Rhodes, M.A., CCC/SLP
- Procare Rehabilitation Associates, LLC
- Teresa M Propato, D.P.M.
- Gina Marie Quinlan, LPC, BC-DMT
- Gretchen Elisabeth Quinn, MS OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.