NPI age
14 years
Enumerated 2011-07-06
● Active
Type 1 · Individual
Duane Broderick
Broderick is 1 of 22 counselor providers in Burley and 1 of 1998 in Idaho.
Primary specialty
Counselor
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-07-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1998 active counselor providers in Idaho.
NPI age
14 years
↑ 7 yr above median (7 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
21% of peers hold subspecialties
NPI lifetime · 2011 → 2026
2011-07Enumerated in NPPES
2011
2026
Where they practice
Practice location
2311 Parke Ave., Ste. 8
Burley, ID 83350
Mailing address
2311 Parke Ave., Ste. 8
Burley, ID 83350
Specialties
-
Counselor PrimaryDefinition to come...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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