MRS. JENNIFER MARY BRODERICK (PA-C) – Surgical Physician Assistant, NPI 1962499723

MRS. JENNIFER MARY BRODERICK (PA-C) is a healthcare provider. based in St petersburg, Florida. specializing in Surgical Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 9102539 (FL). The NPI Number for MRS. JENNIFER MARY BRODERICK (PA-C) is 1962499723

Main info

Female
Name
MRS. JENNIFER MARY BRODERICK (PA-C)
NPI
1962499723
Phone
(727) 821-8101
Address
960 7TH AVE N
Enumeration Date
5 October 2005
Last Update Date
29 March 2013
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

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Provider Addresses for MRS. JENNIFER MARY BRODERICK (PA-C)

  • 960, 7th Avenue North, Historic Uptown, Saint Petersburg, Pinellas County, Florida, 33705, United States

    ST PETERSBURG, FL 337051347

    Phone: (727) 821-8101

    Fax: (727) 894-8360

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

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

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Medicare Utilization (FFS)

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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 33705)

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Reviews

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Frequently asked questions

How do I look up MRS. JENNIFER MARY BRODERICK (PA-C) by NPI?
Use NPI 1962499723 when you need to reference MRS. JENNIFER MARY BRODERICK (PA-C) in forms, claims, or directories.
Is MRS. JENNIFER MARY BRODERICK (PA-C) active in the national directory?
MRS. JENNIFER MARY BRODERICK (PA-C)'s public NPI profile is in an active state.
Does MRS. JENNIFER MARY BRODERICK (PA-C) list a primary specialty?
If you are matching referrals, note Surgical Physician Assistant for MRS. JENNIFER MARY BRODERICK (PA-C). Clinical services aligned with this taxonomy classification.
Where is MRS. JENNIFER MARY BRODERICK (PA-C)'s primary listing?
We display St Petersburg, Florida because that is what the record indicates for MRS. JENNIFER MARY BRODERICK (PA-C).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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