Broderick, John Scott

Broderick, John Scott is an individual health care provider with primary practice located at 480 Floyd Rd Suite A, Spartanburg SC 29307-1518. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Broderick, John Scott can be contacted via phone (864) 582-2188.

Contact Information

Primary practice address
480 Floyd Rd Suite A Spartanburg SC 29307-1518
Phone: (864) 582-2188
Fax: (864) 582-2117
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 16584 South Carolina

Profile Details

NPI number 1235180670
LBN Legal business name Broderick, John Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Mar 15th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235180670 NPPES
South Carolina MEDICAID 165840
South Carolina Other 200032060
South Carolina Other 576007863084
South Carolina Other P00797721
South Carolina Other 4460681
South Carolina Other 5391725

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