What is Keenan Broderick's NPI number?

Keenan Broderick's National Provider Identifier (NPI) is 1962760785, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Keenan Broderick's specialty?

Keenan Broderick is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).

Where is Keenan Broderick located?

Keenan Broderick's practice location on file with NPPES is 3020 Bailey Ave, Buffalo, NY 14215-2814.

What is Keenan Broderick's phone number?

The practice phone number listed in the NPPES registry for Keenan Broderick is (716) 831-1800.

Is Keenan Broderick's NPI active?

Yes — Keenan Broderick's NPI (1962760785) is active in the NPPES registry as of the last update on 2012-04-30.

IndividualActive

Keenan Broderick

NPI 1962760785 · Counselor · Buffalo, NY

Keenan Broderick is a Counselor provider in Buffalo, NY (NPI 1962760785).

Provider details

NPI number: 1962760785
Entity type: Individual
Primary specialty: CounselorBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

CounselorPrimary101Y00000X
Behavioral Health & Social Service Providers

Profile Score

Established profile(73/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
14 yrs in NPPES registry
Profile completeness38% of score
83% 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

3020 Bailey Ave

2nd Floor

Buffalo, NY 14215-2814

Phone: (716) 831-1800

Fax: (716) 831-1818

Street-level locationGet directions

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Mailing address