Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | G75473 | CA |
N | 207PE0004X | Emergency Medical Services | D43476 | MD |
N | 207PP0204X | Pediatric Emergency Physician | D43476 | MD |
NPI | 1124196506 |
---|---|
Provider Name | Dr. Broderick James Franklin |
First Address | Baltimore, MD 21230-5460 |
Second Address | Baltimore, MD 21215-5216 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2006 |
Last Update Date | 18/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
239202000 | (05) | MD |
F45187 | (02) | MD |