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

KEVIN BRODERICK

Active Sole Proprietor

KEVIN 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 AVE
BETHESDA, MD, 208896956
Browse 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.