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

Kevin Broderick

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1639449721

Kevin Broderick is a Student in an Organized Health Care Education/Training Program in Bethesda, Maryland. Practices as a sole proprietor and works from 4 locations. Licensed in District of Columbia, Maryland and Virginia.

Licensed in
DC, MD, VA
In the registry since
2012
Specialties on file
5

Practice location Address checks out

8901 Wisconsin Ave
Bethesda, MD 20889-6956
Phone: (301) 295-1339
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 660 Pennsylvania Ave Se Frnt 2, Washington, DC 20003 — (202) 331-1188
  • 5454 Wisconsin Ave Ste 650, Chevy Chase, MD 20815-6956 — (301) 656-8100
  • 7501 Greenway Center Dr # 300, Greenbelt, MD 20770-3514 — (301) 474-4679

Specialties & licences

Retina Specialist (Ophthalmology) Physician (primary) Taxonomy 207WX0107X · Licence D84883 (MD)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Ophthalmology Physician Taxonomy 207W00000X · Licence MD045933 (DC)
Retina Specialist (Ophthalmology) Physician Taxonomy 207WX0107X · Licence 0101264466 (VA)
Retina Specialist (Ophthalmology) Physician Taxonomy 207WX0107X · Licence MD45933 (DC)

Record details

NPI number1639449721
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 5, 2012
Last updated in NPPESMarch 21, 2025
Certification dateMarch 21, 2025

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