Samuel Fitzgerald Broders, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

T0728 Issued in TX

Practice address

5323 Harry Hines Blvd # E4.300
Dallas, TX 75390-7208

Phone

(214) 648-3022

NPI assigned

Apr 8, 2018

Last updated

Feb 14, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, CA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Emergency Medicine

Education

University of Virginia School of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mobile Medical Group Inc.Group PAC ID 8224397963, 12 clinicians

Texas Medicine Resources, LLPGroup PAC ID 5890688212, 255 clinicians

Texas Physician Resources, LLPGroup PAC ID 7012161375, 91 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cipher Home Health Home health agency, Burbank, CA, CCN 757218
• Glory Home Health, Inc Home health agency, Los Angeles, CA, CCN 053128
• Best Plus Home Health, Inc Home health agency, North Hollywood, CA, CCN 757563
• Rejuvenate Home Health Inc. Home health agency, Burbank, CA, CCN 757000
• Amk Home Health Care Inc Home health agency, Van Nuys, CA, CCN 757126
• Texas Health Arlington Memorial Hospital Hospital, Arlington, TX, CCN 450064
• Methodist Midlothian Medical Center Hospital, Midlothian, TX, CCN 670300

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sbroders1271254@direct.uclahealth.org
• Direct secure messaging: sbroders81012@direct.phhs.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Texas Medicine Resources, LLP

  • Emergency Medicine Physician
  • Fort Worth, TX
  • NPI 1376581900
  Medicare reassignment Care Compare group NPD
• Texas Physician Resources, LLP

  • Emergency Medicine Physician
  • Fort Worth, TX
  • NPI 1639413289
  Medicare reassignment Care Compare group NPD
• Mobile Medical Group Inc

  dba TMD

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1487169660
  Medicare reassignment Care Compare group NPD
• Pediatric Emergency Medicine Group LLP

  • Emergency Medicine Physician
  • Plano, TX
  • NPI 1629448535
  Medicare reassignment NPD
• California Mobile Medical Group Inc

  dba The Mobile DRS

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1588439061
  Medicare reassignment NPD
• Team Physicians of Northern California Medical Group Inc

  • Emergency Medicine Physician
  • Pleasanton, CA
  • NPI 1649692716
  Medicare reassignment NPD
• Team Physicians of Southern California Medical Group, Inc.

  • Emergency Medicine Physician
  • Oceanside, CA
  • NPI 1225499015
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Methodist Hospitals of Dallas

  dba Methodist Midlothian Medical Center

  • General Acute Care Hospital
  • Midlothian, TX
  • NPI 1487271375
  Care Compare affiliation
• Texas Health Arlington Memorial Hospital

  • General Acute Care Hospital
  • Arlington, TX
  • NPI 1174533343
  Care Compare affiliation
• Amk Home Health Care Inc

  • Home Health Agency
  • Van Nuys, CA
  • NPI 1689251050
  Care Compare affiliation
• Best Plus Home Health, Inc

  • Home Health Agency
  • North Hollywood, CA
  • NPI 1326716077
  Care Compare affiliation
• Cipher Home Health

  • Home Health Agency
  • Burbank, CA
  • NPI 1093327819
  Care Compare affiliation
• Glory Home Health, Inc.

  • Home Health Agency
  • Los Angeles, CA
  • NPI 1790144830
  Care Compare affiliation
• Rejuvenate Home Health, Inc.

  • Home Health Agency
  • Burbank, CA
  • NPI 1164037321
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1245737188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6451 BRENTWOOD STAIR RD STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761123200",
            "telephone_number": "817-496-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5323 HARRY HINES BLVD # E4.300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753907208",
            "telephone_number": "214-648-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODERS",
        "first_name": "SAMUEL",
        "middle_name": "FITZGERALD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-08",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "T68740844",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "1245737188",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A179942",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "T0728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Patrick Brockman, LPC
• Andrew Brod, MD
• Donna Wilkinson Broden, SLP
• Genesis Broden
• Albert C Broders III, MD
• Grace Elizabeth Brodie
• Brodsky & Weikum, Inc
• Charles S Brodsky, M.D.
• Greta Vance Brodsky, M.D.
• James W Brodsky, MD

• Emergency Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.