DR. STACY BRODRICK (M.D.) – Emergency Medicine Physician, NPI 1013917954

DR. STACY BRODRICK (M.D.) is a healthcare provider. based in Tucson, Arizona. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 28450 (AZ). The NPI Number for DR. STACY BRODRICK (M.D.) is 1013917954

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. STACY BRODRICK (M.D.)
NPI
1013917954
Phone
(520) 872-7130
Address
2202 N FORBES BLVD
Enumeration Date
21 July 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Secondary Phone
5202872771
Graduation Year
1994 (32 years ago)
PAC ID
9234265869
Group Practice PAC ID
5799066650
Professional Enrollment ID
I20100407000216
Address ID
AZ856212415NO1171XRDXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,179 EMERGENCY MEDICINE in AZ

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Provider Addresses for DR. STACY BRODRICK (M.D.)

  • 2202, North Forbes Boulevard, El Rio Acres, Tucson, Pima County, Arizona, 85745, United States

    TUCSON, AZ 857451412

    Phone: (520) 872-7130

    Type: Mailing

  • Saint Joseph's Hospital, 350, North Wilmot Road, Tucson, Pima County, Arizona, 85711, United States

    TUCSON, AZ 857112602

    Phone: (520) 872-7130

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-04-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100407000216IEmergency MedicineAZTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making227221$0
99284Emergency department visit with moderate level of medical decision making109105$0
99291Critical care, first 30-74 minutes3434$0
View full utilization report →

Insurance plans in this area (ZIP 85745)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5799066650View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to DR. STACY BRODRICK (M.D.)?
NPI 1013917954 is assigned to DR. STACY BRODRICK (M.D.) under the national enumeration system.
Is DR. STACY BRODRICK (M.D.)'s NPI currently valid?
The extract we use shows DR. STACY BRODRICK (M.D.) as active.
Does DR. STACY BRODRICK (M.D.) list a primary specialty?
If you are matching referrals, note Emergency Medicine Physician for DR. STACY BRODRICK (M.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. STACY BRODRICK (M.D.)?
The page summarizes Tucson, Arizona for DR. STACY BRODRICK (M.D.); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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