JENIFER ARLENE BRODERICK-THOMAS (M.D.) – Obstetrics & Gynecology Physician, NPI 1457357279

JENIFER ARLENE BRODERICK-THOMAS (M.D.) is a healthcare provider. based in Dallas, Texas. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. K4001 (TX). The NPI Number for JENIFER ARLENE BRODERICK-THOMAS (M.D.) is 1457357279

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
JENIFER ARLENE BRODERICK-THOMAS (M.D.)
NPI
1457357279
Phone
(214) 369-8555
Address
PO BOX 660046
Enumeration Date
27 June 2005
Last Update Date
15 May 2008

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8649083530
Graduation Year
1997 (29 years ago)
PAC ID
4183633902
Group Practice PAC ID
3577713072
Professional Enrollment ID
I20060406000109
Address ID
TX750334298FR12400PKWY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,164 OBSTETRICS/GYNECOLOGY in TX

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Provider Addresses for JENIFER ARLENE BRODERICK-THOMAS (M.D.)

  • PO BOX 660046

    DALLAS, TX 752660046

    Phone: (214) 369-8555

    Type: Mailing

  • West Parker Road, Plano, Collin County, Texas, 75074, United States

    STE 325

    PLANO, TX 750938103

    Phone: (972) 981-8088

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2024-02-02 • Largest payer in this snapshot: Minerva Surgical, Inc ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-02

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Minerva Surgical, Inc$15
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: 2006-04-06

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
I20060406000109IObstetrics/GynecologyTXTBD

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.

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

Insurance plans in this area (ZIP 75266)

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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: 3577713072View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YSC
-TX
O B S T E T R I C S/ G Y N E C O L O G YTX
-TX
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YTX
Certified Nurse Midwife (Cnm)TX
-TX
O B S T E T R I C S/ G Y N E C O L O G YPA

Reviews

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Frequently asked questions

What is the registry number for JENIFER ARLENE BRODERICK-THOMAS (M.D.)?
The registry entry for JENIFER ARLENE BRODERICK-THOMAS (M.D.) shows NPI 1457357279.
Should I treat JENIFER ARLENE BRODERICK-THOMAS (M.D.) as an active provider?
Patients and plans typically see JENIFER ARLENE BRODERICK-THOMAS (M.D.) as active in the national extract.
What does the directory say JENIFER ARLENE BRODERICK-THOMAS (M.D.) does?
Insurance directories may phrase it differently, but here JENIFER ARLENE BRODERICK-THOMAS (M.D.) maps to Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit JENIFER ARLENE BRODERICK-THOMAS (M.D.) in Dallas, Texas?
For routing, start with Dallas, Texas for JENIFER ARLENE BRODERICK-THOMAS (M.D.), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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