Provider profile
IndividualKelly Clark Broderick
Radiology in San Mateo, CA. NPI 1609821891, listed in the CMS NPI Registry since 05/24/2006. Bills Medicare.
NPI 1609821891Specialty RadiologyEnumerated 05/24/2006
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Registry and Medicare facts
- Practice location
- 100 S San Mateo Dr, San Mateo, CA 94401 CMS NPI Registry
- Specialty
- Radiology CMS NPI Registry
- Subspecialty
- Diagnostic Radiology CMS NPI Registry
- Enumeration date
- 05/24/2006 CMS NPI Registry
- Bills Medicare
- Yes CMS Medicare 2024
- Medicare patients
- 2,694 Part B CMS Medicare 2024
In the full profile
Locked- 122 procedure codesBilled HCPCS codes with volume and payments, CMS Medicare 2024
- 20 similar providersLook-alike providers in CA by patient mix and volume
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