DR. PAUL EUGENE BRODERICK (NPI# 1467459958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467459958 |
| Entity Type | Individual |
| Full Name | DR. PAUL EUGENE BRODERICK |
| Credential | D.O. |
| Practice Address |
49 Bills Blvd Martinsville IN 46151-3354 |
| Practice Telephone | 7653423686 |
| Practice Fax Number | 7653424173 |
| Mailing Telephone | 7653423686 |
| Mailing Fax Number | 7653424173 |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2015-02-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208C00000X | Colon & Rectal Surgery | 02001623A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200037350 | 05 | |
| IN | ANTHEM | 000000095924 | 01 |
| Street Address |
49 BILLS BLVD |
| City | MARTINSVILLE |
| State | IN |
| Zip Code | 46151-3354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679986442 | Christa Snyder | Nurse Practitioner | 49 Bills Blvd, Martinsville, IN 46151-3354 | 2014-06-09 |
| 1225003262 | Ryan R. Lacy | Family Medicine | 49 Bills Blvd, Martinsville, IN 46151-3354 | 2006-02-22 |
| 1013919695 | Dianna L Boyer | Internal Medicine | 49 Bills Blvd, Martinsville, IN 46151-3354 | 2005-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376061341 | Curtis Andrew Legg | Chiropractor | 1100 In-39 Bypass, Martinsville, IN 46151 | 2017-08-30 |
| 1922448919 | Patricia Ann Watts | Clinic/Center | 5040 State Road 67 North, Bradford Woods Health Center, Martinsville, IN 46151 | 2013-07-05 |
| 1962700856 | Keather Kent | Behavioral Analyst | 1375 E Morgan St., Martinsville, IN 46151 | 2011-03-02 |
| 1124235783 | Weaver Chiropractic Center PC | Chiropractor | 1100 State Rd. 39 By-pass, Suite #a, Martinsville, IN 46151 | 2007-05-16 |
| 1629197991 | James Clinton Weaver | Chiropractor | 1100 State Roas 39 By-pass, #a, Martinsville, IN 46151 | 2007-03-28 |
| 1134212988 | Nathaniel H Hall | Dentist | 829 Plaza Drive, Martinsville, IN 46151 | 2006-10-02 |
| 1952404634 | Hook Superx LLC | Pharmacy | 789 State Rd 39 By Pass, Martinsville, IN 46151 | 2006-09-07 |
| 1992753453 | Community Partners In Prenatal Care Inc | Local Education Agency (LEA) | 389 N Jefferson St, Martinsville, IN 46151 | 2006-05-05 |
| 1144290040 | Angela Denise Harder | Occupational Therapy Assistant | 359 E Morgan Street, Martinsville, IN 46151 | 2006-01-24 |
| 1659447332 | Richard Travis Dotterer Jr. | Optometrist | 410 Grand Valley Blvd, Martinsville, IN 46151 | 2006-11-27 |
| Find all providers in zip 46151 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427081090 | Central Indiana Proctology PC | Colon & Rectal Surgery | 250 E Harrison St, Martinsville, IN 46151-1510 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083060222 | Kathryn Freeman | Colon & Rectal Surgery | 355 Westfield Rd Ste 120, Noblesville, IN 46060-1442 | 2016-05-06 |
| 1598100323 | William Oh | Colon & Rectal Surgery | 1215 Hadley Rd Ste 201, Mooresville, IN 46158 | 2013-05-07 |
| 1336482496 | Mithun Mohana Shenoi | Colon & Rectal Surgery | 11104 Parkview Circle Drive Suite 320, Fort Wayne, IN 46845 | 2013-03-27 |
| 1568795409 | Center for Colon and Rectal Care LLC | Colon & Rectal Surgery | 12012 Wood Glen Dr, Fort Wayne, IN 46814-4515 | 2009-09-10 |
| 1902065261 | Sanjay Vijaya Thekkeurumbil | Colon & Rectal Surgery | 7430 N. Shadeland Ave, Suite 200, Indianapolis, IN 46250 | 2008-06-03 |
| 1457524522 | Ben M Tsai | Colon & Rectal Surgery | 5255 E Stop 11 Rd Ste 250, Indianapolis, IN 46237 | 2008-04-09 |
| 1033399704 | David T. Harrison, D.o.,p.c. | Colon & Rectal Surgery | 3520 Guion Rd Ste 307, Indianapolis, IN 46222-1672 | 2007-11-09 |
| 1134318892 | Central Indiana Proctology PC | Colon & Rectal Surgery | 2315 W Jefferson St, Kokomo, IN 46901-4119 | 2007-10-18 |
| 1720024615 | Dalal Medical Corporation | Colon & Rectal Surgery | 9731 Prairie Ave, Highland, IN 46322-3616 | 2006-06-21 |
| 1902849987 | John Michael Musgrave | Colon & Rectal Surgery | 1205 Provident Drive, Ste A, Warsaw, IN 46580 | 2006-06-14 |
| Find all providers with the same taxonomy | ||||
| City | MARTINSVILLE |
| Zip Code | 46151 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.