KEVIN J BRODERICK (D.O.) – Family Medicine Physician, NPI 1013954759

KEVIN J BRODERICK (D.O.) is a healthcare provider. based in East bridgewater, Massachusetts. specializing in FAMILY PRACTICE, OSTEOPATHIC MANIPULATIVE MEDICINE. They hold the professional credentials D.O.. They hold a License No. 204113 (MA). The NPI Number for KEVIN J BRODERICK (D.O.) is 1013954759

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN J BRODERICK (D.O.)
NPI
1013954759
Phone
(508) 350-2350
Address
362 N BEDFORD ST
Enumeration Date
1 June 2006
Last Update Date
7 March 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7815275310
Graduation Year
1998 (28 years ago)
PAC ID
1153363155
Group Practice PAC ID
9133661580
Professional Enrollment ID
I20050601000130
Address ID
MA023331147EA401XXSTXX400
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

1,899 FAMILY PRACTICE in MA

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Provider Addresses for KEVIN J BRODERICK (D.O.)

  • 362, North Bedford Street, East Bridgewater, Plymouth County, Massachusetts, 11333, United States

    EAST BRIDGEWATER, MA 023331148

    Phone: (508) 350-2350

    Fax: (508) 350-2318

    Type: Mailing

  • 1, Compass Way, East Bridgewater, Plymouth County, Massachusetts, 11333, United States

    SUITE 102

    EAST BRIDGEWATER, MA 023331465

    Phone: (508) 350-2100

    Fax: (508) 350-2314

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2023-07-14 • Largest payer in this snapshot: Novo Nordisk Inc ($17).

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

2023-07-14

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: 2005-06-01

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
I20050601000130IFamily PracticeMATBD

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
36415Insertion of needle into vein for collection of blood sample461419$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count423388$0
81001Manual urinalysis test with examination using microscope, automated387336$0
99214Established patient office or other outpatient visit, 30-39 minutes373275$0
87086Bacterial colony count, urine302261$0
View full utilization report →

Insurance plans in this area (ZIP 02333)

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Provider's Procedures

KEVIN J BRODERICK (D.O.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMA85610Blood test, clotting time1919

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: 9133661580View full group profile
NameSpecialtyState
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA
Family PracticeMA
Nurse PractitionerMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

What is the 10-digit NPI for KEVIN J BRODERICK (D.O.)?
KEVIN J BRODERICK (D.O.) — NPI 1013954759 — is the standard way to identify this listing.
Is KEVIN J BRODERICK (D.O.) listed as active for patients and plans?
The listing shows KEVIN J BRODERICK (D.O.) as active in the NPI system.
What healthcare role does KEVIN J BRODERICK (D.O.) hold?
Scheduling teams often label KEVIN J BRODERICK (D.O.) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is KEVIN J BRODERICK (D.O.) based?
KEVIN J BRODERICK (D.O.) is tied to East Bridgewater, Massachusetts in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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