Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PETER BRODERICK, M.D., M.ED.
Active Sole ProprietorDR. PETER BRODERICK, M.D., M.ED. is a Family Medicine healthcare provider located in MODESTO, California. NPI 1285645002 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · MODESTO, CA
Registration Details
- NPI Number
- 1285645002
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 10, 2006 (19.865178669169 yrs)
- Last Updated
- Jul 22, 2015
- License
-
G63629 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
401 PARADISE RDSUITE EMODESTO, CA, 953513104Browse CA providers · Browse ZIP 95351
- Phone
- 2095584000
- Fax
- 2095585036
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in MODESTO, CA
| Name | Credential | NPI |
|---|---|---|
| DR. JAMES LEWIS STANTON | M.D. | 1942200811 |
| KATHIE LEE CRONIN | M.D. | 1205836160 |
| DR. RAUL MONTALVO | M.D. | 1518967488 |
| GIACOMO RUOSI | MD | 1730179136 |
| SILVIA MARGARITA DIEGO | MD | 1922080506 |
| DR. EUNICE M. BALUYOT | MD | 1306828868 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.