| Kevin J Broderick, DO | |
|
1 Compass Way, Suite 102, East Bridgewater, MA 02333-1465 | |
| (508) 350-2100 | |
| (508) 350-2314 |
| Full Name | Kevin J Broderick |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 28 Years |
| Location | 1 Compass Way, East Bridgewater, Massachusetts |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013954759 | NPI | - | NPPES |
| SX3393 | Other | MA | MEDICARE PTAN |
| 204113 | Other | MA | TAHP |
| 713262 | Other | MA | HPHC |
| J24406 | Other | MA | BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 204113 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Brockton Vna | Brockton, MA | Home health agency |
| South Shore Visiting Nurse Association | Rockland, MA | Home health agency |
| South Shore Hospital | South weymouth, MA | Hospital |
| Signature Healthcare Brockton Hospital | Brockton, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nova Medical Group Pc | 9133661580 | 6 |
| Entity Name | Steward Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629398219 PECOS PAC ID: 2860688728 Enrollment ID: O20101119000332 |
| Entity Name | Steward Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255600300 PECOS PAC ID: 2860688728 Enrollment ID: O20120430000164 |
| Entity Name | Nova Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235991332 PECOS PAC ID: 9133661580 Enrollment ID: O20240613000058 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin J Broderick, DO 362 N Bedford St, East Bridgewater, MA 02333-1148 Ph: (508) 350-2350 | Kevin J Broderick, DO 1 Compass Way, Suite 102, East Bridgewater, MA 02333-1465 Ph: (508) 350-2100 |
Nancy E Peplau, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1 Compass Way, Suite 102, East Bridgewater, MA 02333 Phone: 508-350-2100 Fax: 508-350-2316 | |
Imane Tiyal Bentahar, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Donald's Way Ste 210, East Bridgewater, MA 02333 Phone: 508-350-2300 Fax: 508-894-0412 | |
Denise R Brown, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Compass Way, Suite 210, East Bridgewater, MA 02333 Phone: 508-350-2300 Fax: 508-350-2310 | |
Dr. Akash D Patel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 N Bedford St, East Bridgewater, MA 02333 Phone: 817-375-3150 Fax: 781-375-3146 | |
Michelle J. Beaupre, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Compass Way, Suite 200, East Bridgewater, MA 02333 Phone: 508-350-2300 Fax: 508-350-2307 |