Individual provider Active NPI

Soren Brockdorf, PHD

  • Paramedic
  • Gainesville, FL
National Provider Identifier
1457264996
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ParamedicTaxonomy code 146L00000X
Practice address
3600 NW 43Rd St Ste E4
Gainesville, FL 32606-8134
Phone
(904) 651-4690
NPI assigned
Sep 25, 2026
Last updated
Sep 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Paramedic 146L00000X NU Primary

Addresses

Primary practice location

3600 NW 43Rd St Ste E4
Gainesville, FL 32606-8134

Mailing address

5351 NE County Road 340
High Springs, FL 32643-3702
Phone (904) 651-4690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790294400000",
    "number": "1457264996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5351 NE COUNTY ROAD 340",
            "city": "HIGH SPRINGS",
            "state": "FL",
            "postal_code": "326433702",
            "telephone_number": "904-651-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 NW 43RD ST STE E4",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326068134",
            "telephone_number": "904-651-4690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKDORF",
        "first_name": "SOREN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-25",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.