Christopher Everett Broderick, DO | |
6363 N State Highway 161 Ste 100, Irving, TX 75038-2239 | |
(469) 200-3272 | |
Not Available |
Full Name | Christopher Everett Broderick |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 6363 N State Highway 161 Ste 100, Irving, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063753390 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | T2123 (Texas) | Secondary |
207P00000X | Emergency Medicine | 288755 (New York) | Primary |
Entity Name | Buffalo Emergency Associates Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508816521 PECOS PAC ID: 4981502515 Enrollment ID: O20031222000057 |
Mailing Address | Practice Location Address |
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Christopher Everett Broderick, DO 6363 State Hwy 161 Ste 100, Irving, TX 75038-2239 Ph: () - | Christopher Everett Broderick, DO 6363 N State Highway 161 Ste 100, Irving, TX 75038-2239 Ph: (469) 200-3272 |
Donna Coffman, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 400 W Interstate Highway 635 Ste 130, Irving, TX 75063 Phone: 972-579-5222 Fax: 972-579-3900 | |
Michael Alexander Bell, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1901 N Macarthur Blvd, Irving, TX 75061 Phone: 972-579-8110 | |
Dr. Tyler Thomas Miller, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1901 N Macarthur Blvd, Irving, TX 75061 Phone: 972-579-4387 | |
Abdul-ghaffaar Clark, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6800 N Macarthur Blvd, Irving, TX 75039 Phone: 414-708-9427 | |
Joseph Justin Herold Iii, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1901 N Macarthur Blvd, Irving, TX 75061 Phone: 972-579-8110 | |
Rebecca Zellmer Posey, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1901 N Macarthur Blvd, Irving, TX 75061 Phone: 972-579-8110 |