Carla Marie Broderick
APRN | Nurse Practitioner - Adult Health | 27+ years Exp
2215 Portland Ave, Louisville
Kentucky, 40212
502-774-8631
Carla Marie Broderick is a Louisville, Kentucky based nurse practitioner with 27 years of experience in Adult Health. She completed her graduation in 1998. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Carla Marie Broderick is 3002744 for Adult Health in Kentucky. Her current practice location is 2215 Portland Ave, Louisville. Patients can reach her at 502-774-8631 or can fax her at 502-996-8309. Carla Marie Broderick is APRN with specialization in Adult Health and her NPI number (Unique professional ID assigned by NPPES) is 1033115878.
Carla Marie Broderick can evaluate, diagnose patients overall wellness, and conditions such as cancer, heart disease, diabetes, arthritis, sports injuries, and other ailments. She can see patients and promote healthy living and wellness. She can perform physical examinations, order and interpret tests, prescribe medications and treatments, and can also provide education and counseling to patients on wellness strategies and disease prevention.
Complete Profile:
Carla Marie Broderick speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Carla Marie Broderick |
| Specialization: | Adult Health Nurse Practitioner (ANP) |
| Gender: | Female |
| Credentials: | APRN |
| Experience: | 27+ years |
| Medical School Attended: | Other |
| Graduation Year: | 1998 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 2215 Portland Ave, Louisville,
Kentucky, 40212 |
| Phone: | 502-774-8631 |
| Fax: | 502-996-8309 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 2264534387 |
| Enrollment ID: | I20070220000772 |
| NPI Number: | 1033115878 |
| NPI Enumeration Date: | 27 Jun, 2005 |
| NPI Last Update On: | 25 Jan, 2023 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Carla Marie Broderick are as mentioned below.
| License Number | Specialization | State | Status | |
| 3002744 | Adult Health | Kentucky | Primary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Carla Marie Broderick is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Family Health Centers, Inc. (6901700053) | 50 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Carla Marie Broderick such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 000000200893 | Other | Kentucky | ANTHEM |
| 78009859 | Medicaid | Kentucky | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Carla Marie Broderick
Po Box 950244,
Louisville, Kentucky |
| Zip: | 40295-0244 |
| Phone Number: | 502-953-4700 |
| Fax Number: | 502-776-8912 |
Patients can reach Carla Marie Broderick at
2215 Portland Ave, Louisville, Kentucky or can
call to book an appointment on 502-774-8631.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.