David M. Broderick, M.D., Inc.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

C042099 Issued in CA

Legal business name

DAVID M. BRODERICK, M.D., INC.

Practice address

107 Scripps Dr Ste 200
Sacramento, CA 95825-6300

Phone

(916) 925-8111

Fax

(916) 925-8136

NPI assigned

Dec 2, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Tracey Saetern

Title

Surgery Scheduler

Phone

(916) 925-8111

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David M Broderick, M.D.

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Sacramento, CA
  • NPI 1770522203
  Medicare reassignment NPD

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1952603565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 SCRIPPS DR STE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256300",
            "telephone_number": "916-925-8111",
            "fax_number": "916-925-8136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 SCRIPPS DR STE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256300",
            "telephone_number": "916-925-8111",
            "fax_number": "916-925-8136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID M. BRODERICK, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "SAETERN",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "SURGERY SCHEDULER",
        "authorized_official_telephone_number": "916-925-8111",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "C042099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthopaedic Surgery Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.