DEIDRA BRODERICK – Physical Therapist, NPI 1760949341

DEIDRA BRODERICK is a healthcare provider. based in Largo, Florida. specializing in Physical Therapist. They hold a License No. 34389 (FL). The NPI Number for DEIDRA BRODERICK is 1760949341

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
DEIDRA BRODERICK
NPI
1760949341
Phone
(727) 596-2101
Address
14280 WALSINGHAM RD
Enumeration Date
1 March 2019
Last Update Date
11 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7275321900
Graduation Year
2018 (8 years ago)
PAC ID
0840533543
Group Practice PAC ID
5294787735
Professional Enrollment ID
I20190521001919
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:7State licenses:2Digital endpointsOther names

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Provider Addresses for DEIDRA BRODERICK

  • 14280, Walsingham Road, Largo, Pinellas County, Florida, 33774, United States

    LARGO, FL 337743231

    Phone: (727) 596-2101

    Type: Location

  • 31 Magothy Beach Rd Ste 105

    Pasadena, MD 211224423

    Phone: (410) 437-3333

    Fax: (410) 437-4042

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33774)

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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: 5294787735View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
-FL
-FL
-FL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL

Reviews

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Frequently asked questions

How is DEIDRA BRODERICK identified in CMS data?
CMS-hosted NPPES data lists DEIDRA BRODERICK with NPI 1760949341.
Does CMS list DEIDRA BRODERICK as active?
Yes — DEIDRA BRODERICK is active in the NPI listing used on this page.
What taxonomy line describes DEIDRA BRODERICK?
For research purposes, treat DEIDRA BRODERICK as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DEIDRA BRODERICK?
DEIDRA BRODERICK's geographic hint is Largo, Florida in our summary view.
Is the information about DEIDRA BRODERICK up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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