MARY E BRADDOCK (MD) – Pediatrics Physician, NPI 1730189226

MARY E BRADDOCK (MD) is a healthcare provider. based in Roseville, Minnesota. specializing in Pediatrics Physician. They hold the professional credentials MD. They hold a License No. 35350 (MN). The NPI Number for MARY E BRADDOCK (MD) is 1730189226

Main info

Female
Name
MARY E BRADDOCK (MD)
NPI
1730189226
Phone
(651) 855-2327
Address
2910 CENTRE POINTE DR
Enumeration Date
26 July 2005
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for MARY E BRADDOCK (MD)

  • 2910, Centre Pointe Drive, Roseville, Ramsey County, Minnesota, 55113, United States

    ROSEVILLE, MN 551131182

    Phone: (651) 855-2327

    Fax: (651) 855-2310

    Type: Mailing

  • 347 SMITH AVE N

    SAINT PAUL, MN 551022387

    Phone: (651) 220-6789

    Fax: (651) 220-6807

    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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55113)

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Reviews

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Frequently asked questions

How is MARY E BRADDOCK (MD) identified in CMS data?
CMS-hosted NPPES data lists MARY E BRADDOCK (MD) with NPI 1730189226.
Does CMS list MARY E BRADDOCK (MD) as active?
Yes — MARY E BRADDOCK (MD) is active in the NPI listing used on this page.
What is MARY E BRADDOCK (MD)'s primary classification?
Pediatrics Physician is the headline specialty for MARY E BRADDOCK (MD) here. Clinical services aligned with this taxonomy classification.
Does MARY E BRADDOCK (MD) list a practice location?
Patients near Roseville, Minnesota may find MARY E BRADDOCK (MD) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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