| Mr Jerome Daniel Broderick, PT | |
|
2911 Knapp St Ne, Suite C, Grand Rapids, MI 49525-4600 | |
| (616) 975-9078 | |
| (616) 975-9248 |
| Full Name | Mr Jerome Daniel Broderick |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 2911 Knapp St Ne, Grand Rapids, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881691962 | NPI | - | NPPES |
| 650D113250 | Other | MI | BLUE CROSS BLUE SHIELD ID |
| P33049F | Other | MI | BLUE CARE NETWORK ID |
| JB010335 | Other | MI | LISENCE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5501010335 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jerome Daniel Broderick, PT 2911 Knapp St Ne, Suite C, Grand Rapids, MI 49525-4600 Ph: (616) 975-9078 | Mr Jerome Daniel Broderick, PT 2911 Knapp St Ne, Suite C, Grand Rapids, MI 49525-4600 Ph: (616) 975-9078 |
Ms. Silpa Parupalli, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6252 Architrave St Se, Grand Rapids, MI 49546 Phone: 616-446-1374 Fax: 616-956-0059 | |
Ryan Sanders Gary, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1331 Lake Dr Se, Suite 105, Grand Rapids, MI 49506 Phone: 616-248-9842 Fax: 616-248-9848 | |
Samantha Michelle Flietstra, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2161 Leonard St Nw, Grand Rapids, MI 49504 Phone: 616-453-7715 | |
Jennifer Lynne Taylor, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 235 Wealthy St Se, Grand Rapids, MI 49503 Phone: 616-262-0299 | |
Katharine Lind Thompson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Jefferson Ave Se, Grand Rapids, MI 49503 Phone: 616-685-6264 | |
Dr. Lindsey Danielle Conrado, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 161-639-1177 | |
Lauren Mallory, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 235 Wealthy St Se, Grand Rapids, MI 49503 Phone: 616-840-8000 |