Broderick Hollister Brown
Broderick Hollister Brown is a Student in an Organized Health Care Education/Training Program in South Pasadena, California. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
149 Pasadena Ave Ste ASouth Pasadena, CA 91030-3351
Phone: (323) 274-3065
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1548956931 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 18, 2023 |
| Last updated in NPPES | August 27, 2025 |
| Certification date | August 27, 2025 |
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