Free National NPI Number Registry

Kelly Clark Broderick

Home > Kelly Clark Broderick

 

NPI Number Detailed Information

Provider Information:

Name: Kelly Clark Broderick
Gender: F
Provider License Number If Given: G78759

NPI Information:

NPI: 1609821891
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/24/2006

Last Update Date: 9/23/2020

Reputation Report:

Provider Business Mailing Address:

Address: PO BOX 6102
Novato, CA 94948
Phone Number: 4158843418
Fax Number: 4158833406

Provider Business Practice Location Address:

Address: 100 S SAN MATEO DR
San Mateo, CA 94401
Phone Number: 6506964515
Fax Number: 6506964626

Provider Taxonomy:

Primary: 2085U0001X
Secondary (if any): 2085R0202X
State: CA

Top Doctors in CA

 

About Kelly Clark Broderick

Kelly Clark Broderick ( KELLY CLARK BRODERICK ) is A Radiology Physician in San Mateo, CA. The NPI Number for Kelly Clark Broderick is 1609821891.
The current location address for Kelly Clark Broderick is 100 S SAN MATEO DR San Mateo, CA 94401 and the contact number is 4158843418 and fax number is 4158833406. The mailing address for Kelly Clark Broderick is PO BOX 6102 Novato, CA 94948- 6506964515 (mailing address contact number - 4158843418).
A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.

Provider Business Location on Map

FAQs:

What is the NPI Number for Kelly Clark Broderick ?


Answer: The NPI Number for Kelly Clark Broderick is 1609821891

Where is Kelly Clark Broderick located?


Answer: Kelly Clark Broderick is located at 100 S SAN MATEO DR San Mateo, CA 94401.

What is the specialty for Kelly Clark Broderick ?


Answer: The Specialty of Kelly Clark Broderick is A Radiology Physician.

Are there any online reviews for Kelly Clark Broderick ?


Answer: Yes! Check It Now.

Are there any other health care providers in San Mateo, CA?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Kelly Clark Broderick

Number of HCPCS 115
Number of Medicare Beneficiaries 2116
Number of Services 3622
Total Submitted Charge Amount 400699
Total Medicare Allowed Amount 131084.19
Total Medicare Payment Amount 111461.85
Total Medicare Standardized Payment Amount 96227.22
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 0
Number of Medicare Beneficiaries With Drug Services 0
Number of Drug Services 0
Total Drug Submitted Charge Amount 0
Total Drug Medicare Allowed Amount 0
Total Drug Medicare Payment Amount 0
Total Drug Medicare Standardized Payment Amount 0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 115
Number of Medicare Beneficiaries With Medical 2116
Number of Medical Services 3622
Total Medical Submitted Charge Amount 400699
Total Medical Medicare Allowed Amount 131084.19
Total Medical Medicare Payment Amount 111461.85
Total Medical Medicare Standardized Payment Amount 96227.22
Average Age of Beneficiaries 75
Number of Beneficiaries Age Less 65 83
Number of Beneficiaries Age 65 to 74 975
Number of Beneficiaries Age 75 to 84 734
Number of Beneficiaries Age Greater 84 324
Number of Female Beneficiaries 1580
Number of Male Beneficiaries 536
Number of Non-Hispanic White Beneficiaries 1442
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries 318
Number of Hispanic Beneficiaries 200
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified 116
Number of Beneficiaries With Medicare & Medicaid Entitlement 242
Number of Beneficiaries With Medicare Only Entitlement 1874
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.12
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.1
Percent (%) of Beneficiaries Identified With Asthma 0.08
Percent (%) of Beneficiaries Identified With Cancer 0.16
Percent (%) of Beneficiaries Identified With Heart Failure 0.17
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.3
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.08
Percent (%) of Beneficiaries Identified With Depression 0.18
Percent (%) of Beneficiaries Identified With Diabetes 0.25
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.63
Percent (%) of Beneficiaries Identified With Hypertension 0.62
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.23
Percent (%) of Beneficiaries Identified With Osteoporosis 0.19
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.36
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0.02
Percent (%) of Beneficiaries Identified With Stroke 0.04
Average HCC Risk Score of Beneficiaries 1.1437

More Providers in san-mateo , ca

kelly Clark broderick in Other Directories

Provider don't have other directory link yet.