GREGORY BRODERICK MD NPI 1093705899

NPI Information

  • NPI: 1093705899
  • Provider Name: GREGORY BRODERICK, MD
  • Classification: Urology - 208800000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4500 SAN PABLO RD S
    JACKSONVILLE, FL
    ZIP 32224
  • Phone: (904) 953-2000

Map and Directions

Get Directions

NPI Details

Gregory Broderick, MD is an urology in Jacksonville, FL with 43 years of experience. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. Gregory Broderick, MD NPI is 1093705899. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduation Year:1983

The provider's business location address is:

4500 SAN PABLO RD S
JACKSONVILLE, FL
ZIP 32224-865
Phone: (904) 953-2000

The NPI 1093705899 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Diagnostic exam of bladder and urethra using an endoscope (HCPCS:52000)
  • Ultrasound measurement of bladder capacity after voiding (HCPCS:51798)
  • Injection procedure to cause erection (HCPCS:54235)
  • Injection, tobramycin sulfate, up to 80 mg (HCPCS:J3260)
  • Injection, garamycin, gentamicin, up to 80 mg (HCPCS:J1580)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Complete ultrasound of penis artery and vein blood flow (HCPCS:93980)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Electronic assessment of bladder emptying (HCPCS:51741)
  • Imaging of urinary tract following injection of a contrast agent (HCPCS:74420)
  • Insertion of multicomponent inflatable penile implant (HCPCS:54405)
  • Dilation of urethra using an endoscope (HCPCS:52281)
  • Insertion of stent in ureter using an endoscope (HCPCS:52332)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope (HCPCS:52601)
  • Prostate resection (HCPCS:NAN14)

The enumeration date for this NPI number is 10/24/2005 and was last updated on 9/1/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrologyME76658FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.