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

Ryan C Broderick, MD

Individual provider Surgery Physician · NPI 1619252418

Ryan C Broderick, MD is a General Surgery in San Diego, California. Graduated from University of Cincinnati College of Medicine in 2011, 15 years ago. Practices with Regents of the University of California, a 2,061-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
15
Trained at
University of Cincinnati College of Medicine
Licensed in
CA
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

200 W Arbor Dr
San Diego, CA 92103
Phone: (619) 290-0536
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence A124721 (CA)

Record details

NPI number1619252418
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 12, 2011
Last updated in NPPESJuly 26, 2018

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Regents Of The University Of California — 2061 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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