MS. ELISABETH BRODERICK (MD) – Geriatric Medicine (Internal Medicine) Physician, NPI 1306822184

MS. ELISABETH BRODERICK (MD) is a healthcare provider. based in Naples, Florida. specializing in INTERNAL MEDICINE, GERIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 79644 (MA). The NPI Number for MS. ELISABETH BRODERICK (MD) is 1306822184

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
MS. ELISABETH BRODERICK (MD)
NPI
1306822184
Phone
(239) 260-3001
Address
13020 LIVINGSTON RD
Enumeration Date
22 December 2005
Last Update Date
4 August 2020

Doctor Profile

Medical School Name
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Secondary Phone
2393944846
Graduation Year
1991 (35 years ago)
PAC ID
4183660384
Group Practice PAC ID
9436139565
Professional Enrollment ID
I20190107000040
Address ID
FL341455026MA40XXXDRXX403
Telehealth
Yes

Contacts

Secure Messaging
elisabeth.broderick@hopehcs.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

12,368 INTERNAL MEDICINE in FL

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Provider Addresses for MS. ELISABETH BRODERICK (MD)

  • Livingston Road, East Naples, Collier County, Florida, 34105, United States

    NAPLES, FL 341055021

    Phone: (239) 260-3001

    Fax: (239) 325-4041

    Mailing address matches the actual address.

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: 2019-01-07

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
I20190107000040IInternal MedicineFLTBD

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
J0897Injection, denosumab, 1 mg2,88032$0
99214Established patient office or other outpatient visit, 30-39 minutes876264$0
36415Insertion of needle into vein for collection of blood sample518248$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit190190$0
G0008Administration of influenza virus vaccine106104$0
View full utilization report →

Insurance plans in this area (ZIP 34105)

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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: 9436139565View full group profile
NameSpecialtyState
Family PracticeFL
-OH
-FL
H O S P I T A L I S TFL
-FL
Cardiovascular Disease (Cardiology)MN
Cardiovascular Disease (Cardiology)FL
Diagnostic RadiologyNC
Nurse PractitionerFL
-FL

Reviews

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Frequently asked questions

What unique ID ties claims to MS. ELISABETH BRODERICK (MD)?
NPI 1306822184 is assigned to MS. ELISABETH BRODERICK (MD) under the national enumeration system.
Is MS. ELISABETH BRODERICK (MD) active in the national directory?
MS. ELISABETH BRODERICK (MD)'s public NPI profile is in an active state.
What kind of provider is MS. ELISABETH BRODERICK (MD)?
The page reflects Geriatric Medicine (Internal Medicine) Physician for MS. ELISABETH BRODERICK (MD). Clinical services aligned with this taxonomy classification.
Where does public data place MS. ELISABETH BRODERICK (MD)?
The snapshot lists Naples, Florida for MS. ELISABETH BRODERICK (MD); download NPPES for the complete set.
Is MS. ELISABETH BRODERICK (MD) a real provider?
This page reflects official NPPES data for NPI 1306822184. Always confirm identity and privileges with the practice and licensing boards.

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