DR. MARK BRODEUR (MD) – Emergency Medical Services (Emergency Medicine) Physician, NPI 1952389538

DR. MARK BRODEUR (MD) is a healthcare provider. based in Orlando, Florida. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. ME0090285 (FL). The NPI Number for DR. MARK BRODEUR (MD) is 1952389538

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK BRODEUR (MD)
NPI
1952389538
Phone
(904) 346-3606
Address
PO BOX 860554
Enumeration Date
4 January 2006
Last Update Date
30 July 2008

Doctor Profile

Medical School Name
EASTERN VIRGINIA MEDICAL SCHOOL
Secondary Phone
9048195155
Graduation Year
2001 (25 years ago)
PAC ID
0749255164
Group Practice PAC ID
7911811435
Professional Enrollment ID
I20040830000654
Address ID
FL320865784ST400XXBLVD400
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

3,232 EMERGENCY MEDICINE in FL

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Provider Addresses for DR. MARK BRODEUR (MD)

  • Pop in a Box, 800, Avenida Presidente Juscelino Kubitscheck de Oliveira, Jardim Panorama, São José do Rio Preto, Região Imediata de São José do Rio Preto, Região Geográfica Intermediária de São José do Rio Preto, São Paulo, Southeast Region, 15092-450, Brazil

    ORLANDO, FL 328860554

    Phone: (904) 346-3606

    Fax: (904) 346-0113

    Type: Mailing

  • Memorial Hospital, 3625, University Boulevard South, Englewood, Jacksonville, Duval County, Florida, 32216, United States

    EMERGENCY DEPT

    JACKSONVILLE, FL 322164207

    Phone: (904) 346-3606

    Fax: (904) 346-0113

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $92.

Total Amount is formed as General ($92) + Research ($0) + Ownership ($0) = $92.

Last reported payment date: 2024-10-17 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($38).

Total Amount

$92

General + Research + Ownership

Payments

5

Total payment records

General Amount

$92

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-08-30

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
I20040830000654IEmergency 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
99285Emergency department visit with high level of medical decision making419402$0
99291Critical care, first 30-74 minutes8484$0
99284Emergency department visit with moderate level of medical decision making7473$0
93042Electrocardiogram (ecg) 1 to 3 leads with review by physician only3939$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1414$0
View full utilization report →

Insurance plans in this area (ZIP 32886)

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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: 7911811435View full group profile

Reviews

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Frequently asked questions

What is the standard ID for DR. MARK BRODEUR (MD) in the U.S.?
In the U.S., DR. MARK BRODEUR (MD) is identified by NPI 1952389538.
Should I treat DR. MARK BRODEUR (MD) as an active provider?
Patients and plans typically see DR. MARK BRODEUR (MD) as active in the national extract.
How should patients interpret DR. MARK BRODEUR (MD)'s specialty?
The extract shows Emergency Medical Services (Emergency Medicine) Physician for DR. MARK BRODEUR (MD). Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. MARK BRODEUR (MD)?
DR. MARK BRODEUR (MD) is associated with Orlando, Florida in the same public data insurers reference.
Who maintains DR. MARK BRODEUR (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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