Stephen Paul Broderson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2318 Issued in NM

Practice address

7 Avenida Vista Grande
No.108
Santa Fe, NM 87508-9198

Phone

(505) 757-3456

Fax

(505) 757-3456

NPI assigned

Feb 15, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1821062746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 AVENIDA VISTA GRANDE",
            "address_2": "NO.108",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875089198",
            "telephone_number": "505-757-3456",
            "fax_number": "505-757-3456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 AVENIDA VISTA GRANDE",
            "address_2": "NO.108",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875089198",
            "telephone_number": "505-757-3456",
            "fax_number": "505-757-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODERSON",
        "first_name": "STEPHEN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "2318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Renee Brock, DOM
• Adam Broder, DOM
• Paula Renee Broderick, PHARMD
• Tina Andrea Broderick, RDH
• Nicole Broderson, RN, MSN, PMHNP-BC
• Alan Brody
• Cecilia Bromley
• Brian E Brooks
• Marcie P Brooks, LPCC
• Ryder Brooks

• General Practice Dentistry in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• General Practice Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.