Thaddeus Broderick
NPI 1639561012 · Student in an Organized Health Care Education/Training Program · Indianapolis, IN
Thaddeus Broderick is a Student in an Organized Health Care Education/Training Program provider in Indianapolis, IN (NPI 1639561012).
Provider details
- NPI number
- 1639561012
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Male
- Sole proprietor
- Yes
- License
- 76141 (IN)
Specialties & taxonomies
Student, Health Care
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
- 2015-02-23
- Last updated
- 2015-02-23
Frequently asked questions
- What is Thaddeus Broderick's NPI number?
- Thaddeus Broderick's National Provider Identifier (NPI) is 1639561012, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Thaddeus Broderick's specialty?
- Thaddeus Broderick is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Thaddeus Broderick located?
- Thaddeus Broderick's practice location on file with NPPES is 8102 Englewood Rd, Indianapolis, IN 46240-2749.
- What is Thaddeus Broderick's phone number?
- The practice phone number listed in the NPPES registry for Thaddeus Broderick is (317) 473-7489.
- Is Thaddeus Broderick's NPI active?
- Yes — Thaddeus Broderick's NPI (1639561012) is active in the NPPES registry as of the last update on 2015-02-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.