Elliott Jason Barry Brodbaker, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

Q4368 Issued in TX

Practice address

1651 N Collins Blvd Ste 245
Richardson, TX 75080-3787

Phone

(469) 998-3554

NPI assigned

Jul 17, 2012

Last updated

Nov 12, 2025By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Specialty

Ophthalmology

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ebrodbaker1773938@direct.texashealth.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.

• Elliott Brodbaker, MD, PLLC

  dba NextGen Eye Surgeons of Texas

  • Ophthalmology Physician
  • Richardson, TX
  • NPI 1972114908
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1457606360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 N COLLINS BLVD STE 245",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803787",
            "telephone_number": "469-998-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 N COLLINS BLVD STE 245",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803787",
            "telephone_number": "469-998-3554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODBAKER",
        "first_name": "ELLIOTT",
        "middle_name": "JASON BARRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-17",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "Q4368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bright Beginnings Occupational Therapy and Wellness
• Joseph Samuel Brillon, M.A.
• Bringing Pieces Together PLLC
• Denielle Alexa Dones Briones
• Martha Wiley Brock, LPC, LMFT
• Audra Lynn Brodowicz, PT, DPT
• Bronco Recovery LLC
• Melody Brooke, LPC, LMFT
• Shacoria Brookins-McAlister
• Brandi Michelle Brooks, LPC

• Ophthalmology Physician in Richardson, TX
• Providers in Richardson, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; 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.