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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1154079499

Dr. John Broderick is a Student in an Organized Health Care Education/Training Program in Beavercreek, Ohio. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022
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Practice location Address checks out

725 University Blvd
Beavercreek, OH 45324-2640
Phone: (937) 343-4310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5300 Far Hills Ave, Dayton, OH 45429-2381 — (937) 345-3226

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1154079499
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 15, 2022
Last updated in NPPESJune 3, 2026
Certification dateJune 3, 2026
Mailing address725 University Blvd, Beavercreek, OH 45324-2640

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