Mary E. Braddock, MD

Pediatrics Physician · Saint Paul, MN

Individual Active NPI

NPI number 1730189226

Practice location

347 Smith Ave N
Saint Paul, MN 55102-2387
Phone
(651) 220-6789
Fax
(651) 220-6807

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NPI record

NPI
1730189226
Entity type
Individual (Type 1)
Enumeration date
July 26, 2005
Last updated
July 13, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 35350 MN

Mailing address

2910 Centre Pointe Dr
Roseville, MN 55113-1182
Phone
(651) 855-2327
Fax
(651) 855-2310

About Dr. Braddock

Mary E. Braddock, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 347 Smith Ave N, Saint Paul, MN 55102-2387. The NPI number 1730189226 was assigned on July 26, 2005 and the record was last updated on July 13, 2026.

Dr. Braddock lists a license in the registry: #35350 (MN) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mary E. Braddock, MD?

The NPI number is 1730189226.

What is the phone number of Dr. Braddock?

The phone number listed for the practice location is (651) 220-6789.

Where is Dr. Braddock located?

347 Smith Ave N, Saint Paul, MN 55102-2387.

What is the taxonomy code for Dr. Braddock?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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