Individual provider Active NPI

Joseph Broderick, D.O.

  • Emergency Medicine Physician
  • Nashville, TN
National Provider Identifier
1750812731
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4018 Issued in TN
Practice address
3601 The Vanderbilt Clinic
Nashville, TN 37232-5015
Phone
(615) 322-3000
NPI assigned
Mar 22, 2017
Last updated
Jul 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 5101023253 MI
Emergency Medicine Physician 207P00000X 4018 TN Primary

Addresses

Primary practice location

3601 The Vanderbilt Clinic
Nashville, TN 37232-5015

Mailing address

3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691

Other practice location 1

15855 19 Mile Rd
Clinton Township, MI 48038-3504
Phone (586) 263-2300

Other practice location 2

651 Dunlop Ln
Clarksville, TN 37040-5015
Phone (931) 502-1300

Other practice location 3

2835 Highway 231 N
Shelbyville, TN 37160-7327
Phone (615) 875-6415

Other practice location 4

1801 N Jackson St
Tullahoma, TN 37388-2201
Phone (615) 875-6415

Other practice location 5

1411 W Baddour Pkwy
Lebanon, TN 37087-2513
Phone (615) 875-6415

Other identifiers 1

IdentifierTypeStateIssuer
Q057928MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200702002274 TN Practitioner - Emergency Medicine 4587934773 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Michigan State University College of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vanderbilt University Medical CenterGroup PAC ID 5092023416, 3,510 clinicians

Practice addresses (Care Compare)

1301 22ND Ave S
Nashville, TN 37232-5100
Phone (615) 322-3000

2835 Hwy 231 N
Shelbyville, TN 37160-7327
Phone (931) 685-5433

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
4018TNMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
App of Tennessee Ed, PLLC Emergency Medicine CurrentSince Jul 1, 2020 Accepting new patients
Vanderbilt University Medical Center Emergency Medicine CurrentSince Jul 1, 2022 Accepting new patients
Vanderbilt Integrated Providers, LLC CurrentSince May 1, 2025 Accepting new patients
Vanderbilt Integrated Providers, LLC Emergency Medicine CurrentSince May 1, 2025 Accepting new patients

Locations

Dept A T 40379
Atlanta, GA 31192

5121 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 436-6556

1325 Highway 76
Clarksville, TN 37043
Phone (931) 358-6600

651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000

1411 W Baddour Pkwy
Lebanon, TN 37087
Phone (615) 443-2500

1400 Willow Dr
Manchester, TN 37355
Phone (931) 409-2194

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

3841 Green Hills Village Dr
Ste 200
Nashville, TN 37215
Phone (615) 322-6842

719 Thompson Ln
Nashville, TN 37204
Phone (615) 322-6485

2835 Highway 231 N
Shelbyville, TN 37160
Phone (931) 685-5433

1801 N Jackson St
Tullahoma, TN 37388
Phone (931) 393-3000

Interoperability endpoints

  • Direct secure messaging: jbroderick670563@direct.vumc.org

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1750812731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 GREEN HILLS VILLAGE DR STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152691",
            "fax_number": "615-355-5048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 THE VANDERBILT CLINIC",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372325015",
            "telephone_number": "615-322-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15855 19 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Clinton Township",
            "state": "MI",
            "postal_code": "480383504",
            "country_code": "US",
            "telephone_number": "586-263-2300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "651 Dunlop Ln",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370405015",
            "country_code": "US",
            "telephone_number": "931-502-1300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2835 Highway 231 N",
            "address_purpose": "LOCATION",
            "city": "Shelbyville",
            "state": "TN",
            "postal_code": "371607327",
            "country_code": "US",
            "telephone_number": "615-875-6415",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1801 N Jackson St",
            "address_purpose": "LOCATION",
            "city": "Tullahoma",
            "state": "TN",
            "postal_code": "373882201",
            "country_code": "US",
            "telephone_number": "615-875-6415",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1411 W Baddour Pkwy",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "TN",
            "postal_code": "370872513",
            "country_code": "US",
            "telephone_number": "615-875-6415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRODERICK",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-22",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101023253",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "4018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q057928",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.