Individual
JONATHAN D BRODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3001
(585) 922-3220
(585) 922-3518
Mailing address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3001
(585) 922-3220
(585) 922-3518
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
216942
NY
2085R0204X
Vascular & Interventional Radiology Physician
216942
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02057129
—
NY
Enumeration date
03/14/2006
Last updated
04/30/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us