CARI BRODERICK PA-C NPI 1609495936

NPI Information

  • NPI: 1609495936
  • Provider Name: CARI BRODERICK, PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2627 RIVERSIDE AVE STE 300
    JACKSONVILLE, FL
    ZIP 32204
  • Phone: (904) 634-0640

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NPI Details

Cari Broderick, PA-C is a surgical physician assistant in Jacksonville, FL with 6 years of experience. Cari Broderick, PA-C NPI is 1609495936. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2627 RIVERSIDE AVE STE 300
JACKSONVILLE, FL
ZIP 32204-717
Phone: (904) 634-0640

The NPI 1609495936 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.

  • Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg (HCPCS:J7329)
  • Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg (HCPCS:J7322)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Replacement of knee joint, both sides of knee (HCPCS:27447)
  • Aspiration and/or injection of fluid large joint using ultrasound guidance (HCPCS:20611)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)
  • Injection into tendon or ligament (HCPCS:20550)
  • Ultrasonic guidance for needle placement (HCPCS:76942)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • X-ray of both hips, 3-4 views (HCPCS:73522)
  • Knee replacement (HCPCS:NAN06)

The enumeration date for this NPI number is 4/16/2020 and was last updated on 3/5/2025.

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
1363AS0400XPhysician AssistantSurgicalPA9113167FLORIDAYes

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

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