Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1912434416 Individual Practitioner Male Practitioner

Stephan Broderick

Emergency Medicine • Toledo, OH

✓ Accepts Medicare Assignment
Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Stephan Broderick is a registered Emergency Medicine practitioner in Toledo, OH. With approximately 9 years of clinical practice since graduating from Wayne State University School Of Medicine in 2017, Stephan Broderick provides healthcare services at the registered practice location at 2142 N COVE BLVD.

Stephan Broderick maintains professional affiliations with The Toledo Hospital, Emergency Physicians Of Northwest Ohio, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, emergency department visit with moderate level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2142 N Cove Blvd

Toledo, OH 436063895

Telephone 4192914000
Associated Practice Facility / Clinic
🏢 The Toledo Hospital Facility NPI 1407854771

Medicare Profile & Education

Medical School

Wayne State University School Of Medicine

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Toledo, OH

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -4.2 yrs vs City Avg
City Avg: 13.2 Yrs
State Avg: 21.5 Yrs
Regional Practice Density
211 Specialists

Practicing in Toledo, OH (3084 Statewide)

Telehealth Adoption Rate
0.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
83.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Broderick (9 Years) 9 Yrs
Toledo Specialty Average (13.2 Years) 13.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
253 251 $1051.00 $167.77
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
184 178 $47.72 $7.64
99284 Emergency department visit with moderate level of medical decision making
107 107 $667.95 $115.24
99291 Critical care, first 30-74 minutes
69 69 $1263.00 $202.56

Medical Specialties & State Licenses

CMS Verified: 2020-06-22
Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License OH 35.138719

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License MI 4351039441

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Hospital & Practice Group Affiliations

The Toledo Hospital

2142 N Cove Blvd, Toledo, OH 436063895

Phone: 4192914000

Emergency Physicians Of Northwest Ohio, Inc.

715 S Taft Ave, Fremont, OH 434203237

Phone: 8592914800

Emergency Physicians Of Northwest Ohio, Inc.

2142 N Cove Blvd, Toledo, OH 436063895

Phone: 4192914000

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003025016

Doctor of Medicine (M.D.)

Dr. Nicholas Scott , MD

Emergency Medicine

NPI 1003310384

Doctor of Medicine (M.D.)

David Hayden

Pharmacy Technician

NPI 1003732868
Anthony Ignatovich , PA

Physician Assistant - Medical

NPI 1013914134

Physician Assistant

NPI 1033146030

Doctor of Medicine (M.D.)

Khalid Miri , OMS IV

Emergency Medicine

NPI 1033573696

OMSIV

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Practice Location June 22, 2020

Registered at 2142 N COVE BLVD, TOLEDO, OH 436063895 (Tel: 4192914000)

📍
Updated Business Mailing Address June 22, 2020

Registered at 5923 RENAISSANCE PL, TOLEDO, OH 436234709

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2019

Emergency Medicine (License #4351039441 in MI)

NPI Profile Active June 14, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 14, 2017

Registered at 22101 MOROSS RD DEPT 48236, DETROIT, MI 482362148 (Tel: 3133434056)

📍
Updated Business Mailing Address June 14, 2017

Registered at 22101 MOROSS RD, DETROIT, MI 482362148 (Tel: (313) 343-3400)

👤
Provider Name / Credentials Updated June 14, 2017

Recorded as STEPHAN BRODERICK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2017

Emergency Medicine (License #4301112040 in MI)

NPI Profile Active May 15, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 15, 2017

Registered at 705 EAGLE HEIGHTS DR, SOUTH LYON, MI 481782030 (Tel: (248) 755-2523)

📍
Updated Business Mailing Address May 15, 2017

Registered at 705 EAGLE HEIGHTS DR, SOUTH LYON, MI 481782030 (Tel: 2487552523)

👤
Provider Name / Credentials Updated May 15, 2017

Recorded as STEPHAN BRODERICK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 15, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 15, 2017

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: 1912434416
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 15, 2017
Last Update: June 22, 2020
Sole Proprietor: No

Mailing Address

5923 Renaissance Pl

Toledo, OH 436234709

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.