IndividualActive
Paul Broderick, D.O.
NPI 1467459958 · Colon & Rectal Surgery Physician · Mooresville, IN
Provider details
- NPI number
- 1467459958
- Entity type
- Individual
- Primary specialty
- Colon & Rectal Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 02001623A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1215 Hadley Rd Ste 206
Mooresville, IN 46158-2905
Phone: (317) 834-1919
Fax: (317) 834-1920
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 781076
Detroit, MI 48278-1076
Registry dates
- Enumerated
- 2005-06-30
- Last updated
- 2023-04-14
- Certified
- 2023-04-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.