Individual provider Active NPI

Thomas Broderick, M.D.

  • Interventional Cardiology Physician
  • Cincinnati, OH
National Provider Identifier
1396722252
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
35.057828 Issued in OH
Practice address
2123 Auburn Ave
Suite 136
Cincinnati, OH 45219-2906
Phone
(513) 206-1060
Fax
(513) 206-1062
NPI assigned
Dec 30, 2005
Last updated
Mar 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35057828 OH
Cardiovascular Disease Physician 207RC0000X 01033468A IN
Interventional Cardiology Physician 207RI0011X 35.057828 OH Primary

Addresses

Primary practice location

2123 Auburn Ave
Suite 136
Cincinnati, OH 45219-2906

Mailing address

237 William Howard Taft Rd
2ND Floor, Cbo2-3
Cincinnati, OH 45219-2610
Phone (513) 206-1060

Other practice location 1

321 Mitchell Ave
Batesville, IN 47006-8909
Phone (812) 934-6624

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address tbroderick2062@direct.thechristhospital.com Direct
Direct Messaging Address Thomas.Broderick@mmhealth.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN2 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

Enrollment IDStateProvider typePAC IDDetails
I20041019001478 OH Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 6800857210 Reassigns benefits to 1 organization
I20091110000564 IN Practitioner - Interventional CardiologyPractitioner - Cardiac SurgeryPractitioner - Cardiovascular Disease (Cardiology) 6800857210 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of Cincinnati College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Christ Hospital Cardiovascular Associates LLCGroup PAC ID 1658449715, 151 clinicians

Practice addresses (Care Compare)

2123 Auburn Ave
Suite 136
Cincinnati, OH 45219-2906
Phone (513) 721-8881

2139 Auburn Ave
Cincinnati, OH 45219-2906

321 Mitchell Ave
Batesville, IN 47006-8909
Phone (812) 933-5110

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35057828OHMDCardiovascular Disease Physician
35.057828OHMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Isis Medical, Incorporated CurrentSince Feb 5, 2019 Accepting new patients
Margaret Mary Community Hospital, Inc CurrentSince Mar 28, 2024 Accepting new patients
Margaret Mary Community Hospital, Inc CurrentSince Mar 28, 2024 Accepting new patients
St Elizabeth Medical Center, Inc Cardiovascular Disease CurrentSince Dec 14, 2011 Accepting new patients
Henry County Memorial Hospital CurrentSince Dec 14, 2011 Accepting new patients
The Christ Hospital Cardiovascular Associates LLC Cardiovascular Disease CurrentSince Oct 1, 2008 Accepting new patients
Margaret Mary Community Hospital Inc Current Accepting new patients
Ohvc Associates, LLC Cardiovascular Disease Past Accepting new patients
Christ Hospital Cardiology Assoc Cardiovascular Disease Past Accepting new patients
Ohio Heart and Vascular Center, Inc Cardiovascular Disease Past Accepting new patients
Somc Medical Care Foundation, Inc. Past Accepting new patients

Locations

321 Mitchell Ave
Batesville, IN 47006
Phone (812) 933-5018

600 Wilson Creek Rd
Lawrenceburg, IN 47025
Phone (812) 532-2700

98 Elm St
Lawrenceburg, IN 47025
Phone (812) 496-8775

2123 Auburn Ave
Ste 136
Cincinnati, OH 45219
Phone (513) 206-1060

2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406

2454 Kipling Ave
Ste G20
Cincinnati, OH 45239
Phone (513) 541-0700

10506 Montgomery Rd
Ste 504
Montgomery, OH 45242
Phone (513) 221-3800

Interoperability endpoints

  • Direct secure messaging: thomas.broderick@mmhealth.cernerdirect.com
  • Direct secure messaging: thomas.broderick2@mmhealth.cernerdirect.com

Organizations & group practices 11

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1396722252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 WILLIAM HOWARD TAFT RD",
            "address_2": "2ND FLOOR, CBO2-3",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192610",
            "telephone_number": "513-206-1060",
            "fax_number": "513-206-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 AUBURN AVE",
            "address_2": "SUITE 136",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192906",
            "telephone_number": "513-206-1060",
            "fax_number": "513-206-1062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "321 Mitchell Ave",
            "address_purpose": "LOCATION",
            "city": "Batesville",
            "state": "IN",
            "postal_code": "470068909",
            "country_code": "US",
            "telephone_number": "812-934-6624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRODERICK",
        "first_name": "THOMAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35057828",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01033468A",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OH",
            "license": "35.057828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tbroderick2062@direct.thechristhospital.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2123 Auburn Ave",
            "address_2": "Suite 136",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452192906",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Thomas.Broderick@mmhealth.cernerdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "321 Mitchell Ave",
            "city": "Batesville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "470068909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.