DR. PAUL EUGENE BRODERICK (D.O.) – Colon & Rectal Surgery Physician, NPI 1467459958

DR. PAUL EUGENE BRODERICK (D.O.) is a healthcare provider. based in Martinsville, Indiana. specializing in COLORECTAL SURGERY (PROCTOLOGY). They hold the professional credentials D.O.. They hold a License No. 02001623A (IN). The NPI Number for DR. PAUL EUGENE BRODERICK (D.O.) is 1467459958

Main info

Male
Sole Proprietor
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. PAUL EUGENE BRODERICK (D.O.)
NPI
1467459958
Phone
(765) 342-3686
Address
49 BILLS BLVD
Enumeration Date
30 June 2005
Last Update Date
14 April 2023

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
7653611234
Graduation Year
1992 (34 years ago)
PAC ID
0648275057
Group Practice PAC ID
3072790682
Professional Enrollment ID
I20101117000584

Contacts

Secure Messaging
pbroderick10723@Direct.FranciscanAlliance.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

64 COLORECTAL SURGERY (PROCTOLOGY) in IN

Loading map...

Provider Addresses for DR. PAUL EUGENE BRODERICK (D.O.)

  • Martinsville Family & Internal Medicine, 49, Bill's Boulevard, Martinsville, Morgan County, Indiana, 46151, United States

    MARTINSVILLE, IN 461513354

    Phone: (765) 342-3686

    Fax: (765) 342-4173

    Type: Location

  • 1215 HADLEY RD STE 206

    MOORESVILLE, IN 461582905

    Phone: (317) 834-1919

    Fax: (317) 834-1920

    Type: Location

  • PO BOX 781076

    DETROIT, MI 482781076

    Phone: (317) 528-4800

    Fax: (317) 865-1479

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $33.

Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.

Last reported payment date: 2024-05-23 • Largest payer in this snapshot: Braintree Laboratories, Inc. ($18).

Total Amount

$33

General + Research + Ownership

Payments

2

Total payment records

General Amount

$33

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-23

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: 2010-11-17

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
I20101117000584IColorectal Surgery (Proctology)INTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes152110$0
99204New patient office or other outpatient visit, 45-59 minutes9696$0
46221Removal of external hemorrhoids by rubber banding7553$0
46600Diagnostic exam of anus using an endoscope7265$0
46930Destruction of internal hemorrhoids using heat5239$0
View full utilization report →

Insurance plans in this area (ZIP 46151)

Loading plans...

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: 3072790682View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is there an official ID for DR. PAUL EUGENE BRODERICK (D.O.) in U.S. healthcare records?
The official identifier for DR. PAUL EUGENE BRODERICK (D.O.) is NPI 1467459958.
Active or inactive — what applies to DR. PAUL EUGENE BRODERICK (D.O.)?
You should see DR. PAUL EUGENE BRODERICK (D.O.) as active in CMS-hosted NPPES data.
What expertise is attributed to DR. PAUL EUGENE BRODERICK (D.O.)?
DR. PAUL EUGENE BRODERICK (D.O.)'s specialty line reads Colon & Rectal Surgery Physician. Clinical services aligned with this taxonomy classification.
Is DR. PAUL EUGENE BRODERICK (D.O.) located near Martinsville?
DR. PAUL EUGENE BRODERICK (D.O.) currently maps to Martinsville, Indiana in this extract.
When was this NPI issued?
Enumeration for DR. PAUL EUGENE BRODERICK (D.O.) is noted as June 30, 2005 where the registry provides it.

Similar Providers

Unknown Individual

Colon & Rectal Surgery Physician
1215, Hadley Road, Young, Mooresville, Morgan County, Indiana, 46158, United States
NPI: 1942202015

DR. R. BARRY MELBERT (M.D.)

Colon & Rectal Surgery Physician
1215 HADLEY RD STE 201
NPI: 1679577589

DR. JOHN SCOTT PITTMAN (M.D.)

Colon & Rectal Surgery Physician
Dr. Nikhil M. Patel, MD, 13421, Old Meridian Street, Carmel, Hamilton County, Indiana, 46032, United States
NPI: 1023013422

DR. PATRICK YOUNG PARK (M.D.)

Colon & Rectal Surgery Physician
Dr. Nikhil M. Patel, MD, 13421, Old Meridian Street, Carmel, Hamilton County, Indiana, 46032, United States
NPI: 1912902313

DR. NIKHIL MULJI PATEL (M.D.)

Colon & Rectal Surgery Physician
Dr. Nikhil M. Patel, MD, 13421, Old Meridian Street, Carmel, Hamilton County, Indiana, 46032, United States
NPI: 1881699296

DR. RANDALL JAMES KRYSTOSEK (M.D.)

Colon & Rectal Surgery Physician
801, Saint Marys Drive, Evansville, Vanderburgh County, Indiana, 47714, United States
NPI: 1083612006

DR. SYAM S CHILUKURI (MD)

Colon & Rectal Surgery Physician
950, Kenmore Drive, Evansville, Vanderburgh County, Indiana, 47714, United States
NPI: 1235137266