Christopher Broderick, DO
NPI 1063753390 · Emergency Medicine Physician · Latham, NY
Enrolled with Medicare as Order and Referring Only - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Christopher Broderick, DO is a Emergency Medicine Physician provider in Latham, NY (NPI 1063753390).
Provider details
- NPI number
- 1063753390
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- T2123 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 6363 N State Highway 161 Ste 100Irving, TX 75038-2239Phone: (469) 200-3272
Registry dates
- Enumerated
- 2013-03-12
- Last updated
- 2025-03-14
- Certified
- 2025-03-14
Frequently asked questions
- What is Christopher Broderick's NPI number?
- Christopher Broderick's National Provider Identifier (NPI) is 1063753390, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Christopher Broderick's specialty?
- Christopher Broderick is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Christopher Broderick located?
- Christopher Broderick's practice location on file with NPPES is 13 Cornell Rd Ste 2, Latham, NY 12110-1425.
- What is Christopher Broderick's phone number?
- The practice phone number listed in the NPPES registry for Christopher Broderick is (518) 348-3176.
- Does Christopher Broderick accept Medicare?
- Christopher Broderick is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Christopher Broderick's NPI active?
- Yes — Christopher Broderick's NPI (1063753390) is active in the NPPES registry as of the last update on 2025-03-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.