Individual provider · Type 1 NPI

John Scott Broderick, MD

Clinical Neurophysiology Physician · Mequon, WI

NPI number 1508939976 Active

Practice location

13133 N Port Washington Rd, Suite G06
Mequon, WI 53097-2419

Call (262) 243-8371 Map

Fax (262) 243-8342

Mailing address

4425 N Port Washington Rd, Attn: Csmcp Clnic Credentialing
Glendale, WI 53212-1082

Specialties and licenses

TaxonomyCodeLicense
Clinical Neurophysiology Physician Primary 2084N0600X46762-020 (WI)

Clinical Neurophysiology Physician: Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).

30 other providers at this address

About NPI 1508939976

John Scott Broderick, MD's National Provider Identifier is 1508939976, issued on Nov 15, 2006. The primary taxonomy on file is Clinical Neurophysiology Physician (2084N0600X), and the practice location is in Mequon, WI. The record was last updated on Jun 8, 2012.