Kevin Broderick is a Chevy Chase, Maryland based male Ophthalmologist who is specialized in Ophthalmology. Active license number of Kevin Broderick is D84883 in Maryland.
Kevin Broderick is medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, patients can be prescribed vision services, including glasses and contact lenses.
Complete Profile:
Kevin Broderick speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Ophthalmology |
| Gender: | Male |
| Practice Address: | 5454 Wisconsin Ave Ste 650, Chevy Chase,
Maryland, 20815-6956 |
| Phone: | 301-656-8100 |
| Fax: | 301-652-2957 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1639449721 |
| NPI Enumeration Date: | 05 Jan, 2012 |
| NPI Last Update On: | 06 Nov, 2019 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kevin Broderick are as mentioned below.
| License Number | Specialization | State | Status | |
| D84883 | | Maryland | Primary | |
| Student in an Organized Health Care Education/Training Program | | Secondary | |
| MD045933 | Ophthalmology | District Of Columbia | Secondary | |
| 0101264466 | | Virginia | Secondary | |
| MD45933 | | District Of Columbia | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Kevin Broderick such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1639449721 | Medicaid | Virginia | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 9706 Deep Smoke,
Columbia, Maryland |
| Zip: | 21046-2807 |
| Phone Number: | -- |
| Fax Number: | -- |
Patients can reach Kevin Broderick at
5454 Wisconsin Ave Ste 650, Chevy Chase, Maryland or can
call to book an appointment on 301-656-8100. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.