John Broderick, M.D.
John Broderick, M.D. is a Clinical Neurophysiology Physician in Mequon, WI, registered under NPI 1508939976.
Getting there
The practice address on file is 13133 N PORT WASHINGTON RD SUITE G06, Mequon, WI 53097. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 46762-020 | WI | Clinical Neurophysiology Physician primary |
This provider holds licence 46762-020 issued in WI. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Neurology
- PAC ID
- 4688771587
- Enrollment ID
- I20070529000230
Medicare enrolment is recorded as approved under the provider type Practitioner - Neurology. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Clinical Neurophysiology covers
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). NUCC Health Care Provider Taxonomy, code 2084N0600X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1508939976 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Nov 15, 2006 |
| Last updated | Jun 8, 2012 |
| Status | Active |
| Sole proprietor | No |
| Gender | Male |
| Credential | M.D. |
| Practice address |
13133 N PORT WASHINGTON RD SUITE G06 Mequon, WI 53097 (262) 243-8371 Fax (262) 243-8342 |
| Mailing address |
4425 N PORT WASHINGTON RD ATTN: CSMCP CLNIC CREDENTIALING Glendale, WI 53212 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 5 | 0 | 8 | 9 | 3 | 9 | 9 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 5 | 0 | 8 | 9 | 3 | 9 | 9 | 5 |
Sum = 74 · next multiple of 10 = 80 · check digit = 6 · actual last digit = 6
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.