Individual provider Active NPI

Thomas J Brodrick, MD

  • Orthopaedic Surgery Physician
  • Orange City, FL
National Provider Identifier
1780864934
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME0013528 Issued in FL
Practice address
1053 Medical Center Dr
Suite 101
Orange City, FL 32763-8260
Phone
(386) 774-2500
Fax
(833) 450-4859
NPI assigned
Nov 5, 2007
Last updated
Apr 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X ME0013528 FL Primary

Addresses

Primary practice location

1053 Medical Center Dr
Suite 101
Orange City, FL 32763-8260

Mailing address

740 W Plymouth Ave
Deland, FL 32720-3282
Phone (386) 734-9122

Other identifiers 1

IdentifierTypeStateIssuer
056451600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20100925000372 FL Practitioner - Orthopedic Surgery 7618067679 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

1337 S International Pkwy
1341 Florida Orthopaedic Associates
Lake Mary, FL 32746-1402
Phone (407) 333-4507

740 W Plymouth Ave
Deland, FL 32720-3282
Phone 38673491221040

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0013528FLMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Orthopaedic Associates PA Orthopaedic Surgery CurrentSince Nov 1, 2013 Accepting new patients
Tallahassee Orthopedic Clinic III PL Orthopaedic Surgery CurrentSince Feb 1, 2026 Accepting new patients
Tallahassee Orthopedic Clinic III, P.L. CurrentSince Feb 1, 2026 Accepting new patients
Florida Orthopaedic Associates PA Orthopaedic Surgery CurrentSince Nov 1, 2013 Accepting new patients

Locations

740 W Plymouth Ave
Deland, FL 32720
Phone (386) 734-9122

1565 Saxon Blvd
Ste 102
Deltona, FL 32725
Phone (386) 789-5400

1337 S International Pkwy
Ste 1341
Lake Mary, FL 32746
Phone (407) 333-4507

1053 Medical Center Dr
Ste 101
Orange City, FL 32763
Phone (386) 744-2500

3334 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 219-1932

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: tbrodrick@direct.fl-ortho.md
  • Direct secure messaging: thomas.brodrick.1@29635.direct.athenahealth.com

Organizations & group practices 4

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": "1194220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1780864934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 W PLYMOUTH AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327203282",
            "telephone_number": "386-734-9122",
            "fax_number": "386-736-4348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1053 MEDICAL CENTER DR",
            "address_2": "SUITE 101",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638260",
            "telephone_number": "386-774-2500",
            "fax_number": "833-450-4859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODRICK",
        "first_name": "THOMAS",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-05",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME0013528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "056451600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, FL

Sources for this page

Verify at the official NPI Registry.