National Provider Identifier Database

JOHN S BRODERICK, MD – NPI #1508939976
Clinical Neurophysiology

Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).


Contact Information

JOHN S BRODERICK, MD
13133 N PORT WASHINGTON RD
SUITE G06
MEQUON, WI53097-2419
Phone: 262-243-8371
Fax: 262-243-8342
Website:
Specialty Taxonomy Code
* Clinical Neurophysiology 2084N0600X

* Indicates primary specialty

NPI Profile & details for JOHN S BRODERICK

NPI Number 1508939976
Credentials MD
Entity Individual
Enumeration date 11/15/2006
Last updated 06/08/2012 - About 14 years ago
Sole proprietor1 No
Identifiers
  • WI License #: 46762-020
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for JOHN S BRODERICK, MD

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