Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mr. Jerome Daniel Broderick, P.T.

Physical Therapist in Grand Rapids, MI · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1881691962

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Registry record

Entity type Individual (Type 1)

Name Mr. Jerome Daniel Broderick

Credential P.T.

Sex Male

Practice address 2911 Knapp St Ne, Suite C, Grand Rapids, MI, 49525

Phone (616) 975-9078

Fax (616) 975-9248

Enumeration date Jul 5, 2005

Last updated in NPPES Mar 12, 2012

Taxonomy & licenses

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 5501010335 (MI) Primary

PT · Physical Therapist: A licensed movement specialist treating injury and disability through exercise and rehabilitation. About the PT credential

Other identifiers

Identifier	Type	State	Issuer
650D113250	Other	MI	BLUE CROSS BLUE SHIELD ID
P33049F	Other	MI	BLUE CARE NETWORK ID
JB010335	Other	MI	LISENCE NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What specialty is Jerome Broderick?

Jerome Broderick is registered in NPPES with the primary taxonomy of Physical Therapist. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-03-12.