MEDICARE: MRS. PAMELA JOY BRODERICK M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	35.135932	OH

General Provider Information

NPI Number	:	1598846693
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. PAMELA JOY BRODERICK M.D.

Provider Business Mailing Address
First Line	:	101 BODIN CIR
Second Line	:
City	:	TRAVIS AFB
State	:	CA
Zip	:	94535-1809
Country	:	US
Telephone Number	:	707-423-5174
Fax Number	:

Provider Business Practice Location Address
First Line	:	7250 POE AVE # 220
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45414-2687
Country	:	US
Telephone Number	:	216-468-5000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	02/18/2026

Similar Medicare Providers

1770915795 — MARSHA ELLEN WILKEY PMHNP-BC
Practice Location Address:

7250 POE AVE STE 220
DAYTON, OH
45414-2687

Practice Phone: 937-912-3305
Practice Fax:

1053722967 — RACHEL LYNN QUINN LISW
Practice Location Address:

7250 POE AVE
DAYTON, OH
45414-2687

Practice Phone: 216-468-5000
Practice Fax:

1215426051 — TAYLOR SHEAR LISW
Practice Location Address:

7250 POE AVE # 220
DAYTON, OH
45414-2687

Practice Phone: 216-468-5000
Practice Fax:

1578155727 — MRS. PAMELA DAWN WALKER LISW
Practice Location Address:

7250 POE AVE # 220
DAYTON, OH
45414-2687

Practice Phone: 216-468-5000
Practice Fax:

1649846619 — LAUREN BARBER LPCC
Practice Location Address:

7250 POE AVE STE 220
DAYTON, OH
45414-2687

Practice Phone: 216-266-9486
Practice Fax:

1043880313 — XOLISWA N CROSS PMHNP-BC
Practice Location Address:

7250 POE AVE STE 220
DAYTON, OH
45414-2687

Practice Phone: 937-912-3305
Practice Fax:

Directions to “ MRS. PAMELA JOY BRODERICK M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.