Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. ROBERT W BRODDUS JR., LAT, ATC

Active

MR. ROBERT W BRODDUS JR., LAT, ATC is a Athletic Trainer healthcare provider located in SALISBURY, Maryland. NPI 1407203060 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · SALISBURY, MD

Registration Details

NPI Number: 1407203060
Provider Type: Individual
Gender: Male
NPI Issued: May 24, 2016 (10.185197746218 yrs)
Last Updated: May 24, 2016
License: A0000758 (MD)

Practice Information

Address: 1101 CAMDEN AVE

SALISBURY UNIVERSITY

SALISBURY, MD, 218016837
Browse MD providers · Browse ZIP 21801
Phone: 4105436355
Fax: 4105462639
Primary Specialty: Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in SALISBURY, MD

Name	Credential	NPI
MR. PATRICK MICHAEL LAMBONI	ATC	1376536722
KIMBERLY E TULL	ATC, NREMT-P	1669465019
MS. CINDY L RILEY	M.S,, ATC	1962495366
MS. MAUREEN COURTNEY THOMPSON	ATC	1447243860
BENJAMIN J WAPLES	ATC	1396739645
COURTNEY NICOLE WISK	ATC	1669466918

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.