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

Dr. Daniel J Broderick, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1487141990

Dr. Daniel J Broderick, DO is a Hospitalist in Boise, Idaho. Graduated from Alabama College of Osteopathic Medicine in 2018, 8 years ago. Practices with Saint Alphonsus Regional Medical Center Inc, a 673-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
8
Trained at
Alabama College of Osteopathic Medicine
Licensed in
ID
In the registry since
2018
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1055 N Curtis Rd
Boise, ID 83706-1309
Phone: (208) 367-7350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2100 Stantonsburg Rd, Greenville, NC 27834-2818 — (252) 744-0766

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence O-1724 (ID)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1487141990
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 19, 2018
Last updated in NPPESOctober 13, 2022
Certification dateOctober 13, 2022
Mailing address3340 E Goldstone Dr, Meridian, ID 83642-1026

Medicare enrollment

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

Medicare specialtyHOSPITALIST
Medical schoolALABAMA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2018 (8 years in practice)
Group practice Saint Alphonsus Regional Medical Center Inc — 673 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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