MR. CHRISTOPHER MATTHEW BRODERICK (FNP) – Family Nurse Practitioner, NPI 1831466549

MR. CHRISTOPHER MATTHEW BRODERICK (FNP) is a healthcare provider. based in Alliance, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 12853-NP (OH). The NPI Number for MR. CHRISTOPHER MATTHEW BRODERICK (FNP) is 1831466549

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
MR. CHRISTOPHER MATTHEW BRODERICK (FNP)
NPI
1831466549
Phone
(330) 821-3961
Address
1390 S Arch Ave
Enumeration Date
23 November 2011
Last Update Date
5 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3307479551
Graduation Year
2011 (15 years ago)
PAC ID
2860650041
Group Practice PAC ID
1951395086
Professional Enrollment ID
I20120220000210
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:14State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for MR. CHRISTOPHER MATTHEW BRODERICK (FNP)

  • 1390 S Arch Ave

    Alliance, OH 446014111

    Phone: (330) 821-3961

    Fax: (330) 821-0232

    Type: Location

  • 1821 E Market St

    Warren, OH 444836627

    Phone: (330) 392-7000

    Fax: (330) 392-0864

    Type: Location

  • 3132 Belmont Ave

    Youngstown, OH 445051838

    Phone: (844) 652-8219

    Fax: (866) 793-5728

    Type: Location

  • 175 E Broad St

    Newton Falls, OH 444441708

    Phone: (330) 872-2010

    Fax: (330) 872-4309

    Type: Location

  • 1977 NILES RD SE

    WARREN, OH 444845118

    Phone: (330) 747-9551

    Fax: (330) 884-6120

    Type: Location

  • 726 WICK AVE

    YOUNGSTOWN, OH 445052827

    Phone: (330) 747-9551

    Fax: (330) 759-3149

    Type: Mailing

  • 20265 Emery Rd

    North Randall, OH 441284122

    Phone: (440) 523-9966

    Fax: (216) 584-2895

    Type: Location

  • 716 Tod Ave SW

    Warren, OH 444853608

    Phone: (330) 373-0222

    Fax: (330) 393-3764

    Type: Location

  • 1977 Niles Rd SE

    Warren, OH 444845118

    Phone: (330) 393-6446

    Fax: (330) 369-1580

    Type: Location

  • 2642 State Route 5

    Cortland, OH 444109393

    Phone: (330) 841-5500

    Fax: (330) 841-5510

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-02-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120220000210INurse PractitionerOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
82962Blood glucose (sugar) test performed by hand-held instrument2816$0
83036Hemoglobin a1c level2616$0
View full utilization report →

Insurance plans in this area (ZIP 44601)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951395086View full group profile
NameSpecialtyState
Mental Health CounselorOH
Family PracticeOH
D E N T I S TOH
Nurse PractitionerOH
Registered Dietitian Or Nutrition ProfessionalOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Mental Health CounselorOH
Internal MedicineOH

Reviews

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Frequently asked questions

Can I use this page to confirm MR. CHRISTOPHER MATTHEW BRODERICK (FNP)'s NPI?
Yes. MR. CHRISTOPHER MATTHEW BRODERICK (FNP) is listed with NPI 1831466549 in the public NPI dataset.
Does the file indicate MR. CHRISTOPHER MATTHEW BRODERICK (FNP) is practicing under active NPI?
Directory data currently reports MR. CHRISTOPHER MATTHEW BRODERICK (FNP) as active.
What healthcare role does MR. CHRISTOPHER MATTHEW BRODERICK (FNP) hold?
Scheduling teams often label MR. CHRISTOPHER MATTHEW BRODERICK (FNP) under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does MR. CHRISTOPHER MATTHEW BRODERICK (FNP) serve?
MR. CHRISTOPHER MATTHEW BRODERICK (FNP)'s listing highlights Alliance, Ohio; more addresses can appear in NPPES.
How many locations tie to this NPI?
11 practice locations appear in the available data.

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