Christopher Everett Broderick, DO - Medicare Emergency Medicine in Latham, NY

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Christopher Everett Broderick, DO is a medicare enrolled "Emergency Medicine" physician in Latham, New York. His current practice location is 13 Cornell Rd Ste 2, Latham, New York. You can reach out to his office (for appointments etc.) via phone at (518) 348-3176.

Christopher Everett Broderick is licensed to practice in New York (license number 288755) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1063753390.

Contact Information

Christopher Everett Broderick, DO
13 Cornell Rd Ste 2,
Latham, NY 12110-1425
(518) 348-3176
Not Available

Map and Direction




Physician's Profile

Full NameChristopher Everett Broderick
GenderMale
SpecialityEmergency Medicine
Location13 Cornell Rd Ste 2, Latham, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063753390
  • Provider Enumeration Date: 03/12/2013
  • Last Update Date: 03/14/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7719289107
  • Enrollment ID: I20240910003719

Medical Identifiers

Medical identifiers for Christopher Everett Broderick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063753390NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine T2123 (Texas)Secondary
207P00000XEmergency Medicine 288755 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Christopher Everett Broderick is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Christopher Everett Broderick, DO
13 Cornell Rd Ste 2,
Latham, NY 12110-1425

Ph: () -		Christopher Everett Broderick, DO
13 Cornell Rd Ste 2,
Latham, NY 12110-1425

Ph: (518) 348-3176

Reviews and Comments


Emergency Medicine Doctors in Latham, NY

Sarah Vogel, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1205 Troy Schenectady Rd Ste 101, Latham, NY 12110
Phone: 518-348-3176    
Dr. Peter Hamilton Kelly, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 776a Watervliet Shaker Rd, Access Health Systems, Latham, NY 12110
Phone: 518-782-2200    
Amy Morelli, PA
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1205 Troy Schenectady Rd Ste 101, Latham, NY 12110
Phone: 518-348-3176    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.