Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN BRODERICK
Active Sole ProprietorKEVIN BRODERICK is a Sports Medicine (Emergency) healthcare provider located in BETHESDA, Maryland. NPI 1639449721 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Emergency) · BETHESDA, MD
Registration Details
- NPI Number
- 1639449721
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 5, 2012 (14.645529223939 yrs)
- Last Updated
- Mar 21, 2025
- Licenses
-
D84883 (MD)MD045933 (DC)0101264466 (VA)MD45933 (DC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8901 WISCONSIN AVEBETHESDA, MD, 208896956Browse MD providers · Browse ZIP 20889
- Phone
- 3012951339
- Primary Specialty
-
Sports Medicine (Emergency)
207WX0107X
- Additional Specialty
- Sports Medicine (Emergency)
- Additional Specialty
- Ophthalmology
- Additional Specialty
- Sports Medicine (Emergency)
- Additional Specialty
- Sports Medicine (Emergency)
Other Sports Medicine (Emergency) Providers in BETHESDA, MD
| Name | Credential | NPI |
|---|---|---|
| DR. FADI PHILIP NASRALLAH | M.D. | 1427055144 |
| DR. ROBERT FREDERIC STEPHENS | M.D. | 1568469286 |
| DR. DAVID LELAND PARVER | M.D. | 1346248887 |
| JORDAN LAWRENCE HEFFEZ | M.D. | 1669617866 |
| GRANT JUSTIN | M.D. | 1891144515 |
| DR. PANOS GEORGE CHRISTAKIS | — | 1912423567 |
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.