Individual
MR. EDWARD ROY BRADDOCK
Active
Individual
MR. EDWARD ROY BRADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT006762L
PA
225100000X
Physical Therapist
PT010934
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000359936
ANTHEM BC/BS OF OHIO
OH
01
—
1627513
HIGHMARK BC/BS
PA
05
—
2552830
—
OH
01
—
P00272193
RAILROAD MEDICARE
—
Enumeration date
05/17/2006
Last updated
07/13/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up