Dr Michael Francis Broderick, DO | |
2901 4th St, Longview, TX 75605-5128 | |
(903) 758-1818 | |
Not Available |
Full Name | Dr Michael Francis Broderick |
---|---|
Gender | Male |
Speciality | Hospitalist |
Location | 2901 4th St, Longview, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033778758 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | V2612 (Texas) | Secondary |
208M00000X | Hospitalist | V2612 (Texas) | Primary |
Entity Name | South Valley Internal Medicine, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215272596 PECOS PAC ID: 0547415648 Enrollment ID: O20130220000534 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Francis Broderick, DO 707 Hollybrook Dr, Longview, TX 75605-2410 Ph: () - | Dr Michael Francis Broderick, DO 2901 4th St, Longview, TX 75605-5128 Ph: (903) 758-1818 |
Venkata Sandeep Koripalli, M.D., Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-3588 | |
Harold R Taylor, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2901 N 4th St, Longview, TX 75605 Phone: 903-232-3675 | |
Chinwe Okafor, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-1488 | |
Nway Nway, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-1488 | |
Dr. Prashanth Peddi, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-1488 Fax: 903-315-1656 |