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Deactivated NPI 1558328286 Deactivated / Inactive NPI Male Practitioner

Dr. John P Broderson , MD

Ophthalmology • Frankfort, KY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Broderson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 27, 2006
NPI Deactivation Date December 12, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. John Broderson, MD was a registered Ophthalmology practicing in Frankfort, KY. Throughout an active medical career spanning 12 years, Dr. Broderson provided care at the practice location at 102 DIAGNOSTIC DR until profile deactivation on 2018-12-12.

Practice Location & Contact Primary Location

Practice Address

102 Diagnostic Dr

Frankfort, KY 406016524

Telephone 5022238258
Fax 5028759481
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Frankfort, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 29.0 Yrs
State Avg: 28.2 Yrs
Regional Practice Density
5 Specialists

Practicing in Frankfort, KY (265 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License KY 15431

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1215993274

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 12, 2018

Record deactivated on December 12, 2018

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 102 DIAGNOSTIC DR, FRANKFORT, KY 406016524 (Tel: 5022238258)

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Updated Business Mailing Address July 09, 2007

Registered at PO BOX 4265, FRANKFORT, KY 406044265 (Tel: 5022238258)

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Provider Name / Credentials Updated July 09, 2007

Recorded as JOHN BRODERSON, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Ophthalmology (License #15431 in KY)

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Initial NPI Registration & Enumeration April 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1558328286
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 27, 2006
Last Update: July 09, 2007
Deactivation Date: December 12, 2018

Mailing Address

Po Box 4265

Frankfort, KY 406044265

Phone: 5022238258

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.