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Jessica Broderick is one of 9 general surgeons practicing in Longview, Texas .
Jessica Broderick practices with Associated Clinicians Of East Texas.
Registry record (NPPES)
NPI
1538728225
Type
Type 1 · Individual
Primary taxonomy
Surgery · 208600000X
Address on file
707 Hollybrook Dr Longview, TX 75605-2410 (903) 757-6042
Enumerated
Jun 6, 2019
Record last updated
Oct 2, 2025
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXGeneral Surgery
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
707 Hollybrook Dr
Longview , TX 75605
(903) 291-6161
More general surgeons in Longview
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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