Anthony Broderick, NP
NPI 1194820555 · Nurse Practitioner · Coeur D Alene, ID
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Anthony Broderick, NP is a Nurse Practitioner provider in Coeur D Alene, ID (NPI 1194820555).
Provider details
- NPI number
- 1194820555
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Male
- Sole proprietor
- No
- License
- NP675A (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2006-09-13
- Last updated
- 2019-08-28
Frequently asked questions
- What is Anthony Broderick's NPI number?
- Anthony Broderick's National Provider Identifier (NPI) is 1194820555, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Anthony Broderick's specialty?
- Anthony Broderick is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Anthony Broderick located?
- Anthony Broderick's practice location on file with NPPES is 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051.
- What is Anthony Broderick's phone number?
- The practice phone number listed in the NPPES registry for Anthony Broderick is (208) 625-5185.
- Does Anthony Broderick accept Medicare?
- Anthony Broderick is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Anthony Broderick's NPI active?
- Yes — Anthony Broderick's NPI (1194820555) is active in the NPPES registry as of the last update on 2019-08-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.