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

Dr. Peter Broderick, MD, MED

Individual provider Family Medicine Physician · NPI 1285645002

Dr. Peter Broderick, MD, MED is a Family Practice in Modesto, California. Qualified in 1987, 39 years ago. Practices with Sutter Bay Medical Foundation, a 3,762-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
39
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MED — Master of Education
A graduate education degree, written M.Ed.

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Practice location Address checks out

401 Paradise Rd Ste E
Modesto, CA 95351-3104
Phone: (209) 558-4000
Fax: (209) 558-5036
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence G63629 (CA)

Record details

NPI number1285645002
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MED
Sole proprietorYes
NPI enumeratedAugust 10, 2006
Last updated in NPPESJuly 22, 2015
Mailing address10470 Old Placerville Rd, Suite 100, Sacramento, CA 95827-2539

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Sutter Bay Medical Foundation — 3762 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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