Jerome Broderick, P.T.
NPI 1881691962 · Physical Therapist · Grand Rapids, MI
Jerome Broderick, P.T. is a Physical Therapist provider in Grand Rapids, MI (NPI 1881691962).
Provider details
- NPI number
- 1881691962
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- P.T.
- Sex
- Male
- Sole proprietor
- No
- License
- 5501010335 (MI)
Specialties & taxonomies
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
20 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
- 2005-07-05
- Last updated
- 2012-03-12
Frequently asked questions
- What is Jerome Broderick's NPI number?
- Jerome Broderick's National Provider Identifier (NPI) is 1881691962, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jerome Broderick's specialty?
- Jerome Broderick is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jerome Broderick located?
- Jerome Broderick's practice location on file with NPPES is 2911 Knapp St Ne, Grand Rapids, MI 49525-4600.
- What is Jerome Broderick's phone number?
- The practice phone number listed in the NPPES registry for Jerome Broderick is (616) 975-9078.
- Is Jerome Broderick's NPI active?
- Yes — Jerome Broderick's NPI (1881691962) is active in the NPPES registry as of the last update on 2012-03-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.