Dr. John Scott Broderick, MD
Dr. John Scott Broderick, MD is a Neurology in Mequon, Wisconsin. Graduated from Medical College of Wisconsin in 2002, 24 years ago. Practices with Columbia St Marys Hospital Milwaukee Inc, a 314-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.
- Years since qualifying
- 24
- Trained at
- Medical College of Wisconsin
- Licensed in
- WI
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
13133 N Port Washington Rd Ste G06Mequon, WI 53097-2419
Phone: (262) 243-8371
Fax: (262) 243-8342
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Neurophysiology Physician (primary) | Taxonomy 2084N0600X · Licence 46762-020 (WI) |
|---|
Record details
| NPI number | 1508939976 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | November 15, 2006 |
| Last updated in NPPES | June 8, 2012 |
| Mailing address | 4425 N Port Washington Rd, Attn: Csmcp Clnic Credentialing, Glendale, WI 53212-1082 |
Medicare enrollment
| Medicare specialty | NEUROLOGY |
|---|---|
| Medical school | MEDICAL COLLEGE OF WISCONSIN |
| Graduated | 2002 (24 years in practice) |
| Group practice | Columbia St Marys Hospital Milwaukee Inc — 314 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 5 on file with Medicare |