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

Mr. Robert W Broddus Jr., LAT, ATC

Individual provider Athletic Trainer · NPI 1407203060

Mr. Robert W Broddus Jr., LAT, ATC is an Athletic Trainer in Salisbury, Maryland. Licensed in Maryland. Registered with an NPI since 2016.

Licensed in
MD
In the registry since
2016
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

1101 Camden Ave Salisbury University
Salisbury, MD 21801-6837
Phone: (410) 543-6355
Fax: (410) 546-2639
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence A0000758 (MD)

Record details

NPI number1407203060
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT , ATC
Sole proprietorNo
NPI enumeratedMay 24, 2016
Last updated in NPPESMay 24, 2016

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