Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Broderick Moore Koch, MD

Individual provider Emergency Medicine Physician · NPI 1558011809

Broderick Moore Koch, MD is an Emergency Medicine in Washington, District of Columbia. Graduated from Eastern Virginia Medical School in 2022, 4 years ago. Licensed in Virginia.

Years since qualifying
4
Trained at
Eastern Virginia Medical School
Licensed in
VA
In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

110 Irving St NW Dept OF Emergency Medicine
Washington, DC 20010-3017
Phone: (202) 877-2424
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 0101285153 (VA)

Record details

NPI number1558011809
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 28, 2022
Last updated in NPPESJuly 7, 2025
Certification dateJuly 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolEASTERN VIRGINIA MEDICAL SCHOOL
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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