National Provider Identifier
James Edward Broderick, DPM
James Edward Broderick, DPM is listed in the NPPES registry with a primary specialty of Foot Surgery Podiatrist in Canandaigua, NY and a listed phone number of (585) 394-4070.
Profile Overview
- NPI
- 1093726473
- Provider Type
- Individual
- Primary Specialty
- Foot Surgery Podiatrist
- Enumeration Date
- August 10, 2006
- Last Updated
- November 22, 2016
Practice Location
- 470 S Pearl St
- Canandaigua, NY 14424
Phone: (585) 394-4070
Specialties
- Foot Surgery Podiatrist (213ES0131X)
Full Record
- NPI
- 1093726473
- Entity Type
- Individual
- Last Name
- Broderick
- First Name
- James
- Middle Name
- Edward
- Credential
- DPM
- Mailing Street Address
- 470 S Pearl St
- Mailing City
- Canandaigua
- Mailing State
- NY
- Mailing ZIP Code
- 14424
- Mailing Country
- US
- Mailing Phone
- (585) 394-4070
- Mailing Fax
- (585) 394-8563
- Practice Street Address
- 470 S Pearl St
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424
- Practice Country
- US
- Practice Phone
- (585) 394-4070
- Practice Fax
- (585) 394-8563
- Enumeration Date
- August 10, 2006
- Last Updated
- November 22, 2016
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Foot Surgery Podiatrist (213ES0131X)
- Other Identifiers
- 01158323 (NY), 8110 (NY, Rochester Bl Shield), 480007845 (NY, Rr Medicare)