Andrew Broderick

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

181 W Meadow Dr
Vail, CO 81657-5242

Phone

(970) 569-7777

NPI assigned

Dec 30, 2019

Sex

Male

Sole proprietor

No

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

• Vail Clinic, Inc.

  • General Acute Care Hospital
  • Vail, CO
  • NPI 1992812333

  CO

  Medicare reassignment NPD
• Des Moines Sports Institute

  • Physical Therapist
  • Norwalk, IA
  • NPI 1538021811
  NPD Authorized official
• Vail Clinic Inc

  • Clinic/Center
  • Breckenridge, CO
  • NPI 1699322800
  NPD
• Vail Clinic, Inc.

  • General Acute Care Hospital
  • Edwards, CO
  • NPI 1659151009
  NPD

Merit-based Incentive Payment System (MIPS)

Final score

75.38 of 100Reported as group

Quality

55.42

Promoting interoperability

96

Improvement activities

40

Cost

65.85

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vvmc.direct@direct.vvmc.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 10, 2022.

{
    "created_epoch": "1577664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1265071872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40000",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "816587520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 W MEADOW DR",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "816575242",
            "telephone_number": "970-569-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODERICK",
        "first_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-30",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0017792",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "VVMC.DIRECT@direct.vvmc.com",
            "affiliation": "Y",
            "affiliationName": "VAIL CLINIC INC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "181 W Meadow Dr",
            "city": "Vail",
            "state": "CO",
            "country_code": "US",
            "postal_code": "816575242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brett Bousquet
• Kiara Bowen, DO
• Helen Clare Bradley, PT
• Katherine Branson, PT, DPT
• Gayle L Braunholtz, MD
• Laurence Winfield Brooks, M.D.
• Joanna Lynn Brown, WHNP
• Nicholas Peter Brown, PT
• Cassidy Margaret Burdette, BS, ATC
• Barbara Burns, DPT

• All providers in Vail, CO
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.