DR. RYAN NOBLE BRODERICK DMD
NPI 1003294406
Dentist - General Practice in Converse, TX

Q: What is Ryan Broderick's NPI number?

The NPI number for Ryan Broderick is 1003294406. It was assigned to this individual provider in the NPPES registry on May 18, 2015.

Q: What is Ryan Broderick's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Ryan Broderick was last updated on May 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 18, 2015PECOS Enrolled

9135 SCHAEFER RD, STE 3, CONVERSE, TX 78109(210) 607-8232 Get Directions Write a Review

NPPES record last updated: May 18, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Ryan Noble Broderick Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RYAN NOBLE BRODERICK DMD (NPI 1003294406) is an individual general practice provider in Converse, Texas, licensed in Texas (30868) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003294406

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. RYAN NOBLE BRODERICKCredential: DMD

Location Address9135 SCHAEFER RD, STE 3Converse, TX 78109-1979

Mailing Address9135 Schaefer Rd, Ste 3Converse, TX 78109-1979 · (210) 607-8232

Phone(210) 607-8232

Sole ProprietorYes

Enumeration DateMay 18, 2015

✔ NPI 1003294406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in TX · 30868

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

9135 SCHAEFER RD, Converse, TX 78109

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ryan Noble Broderick Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CONVERSE DENTAL PARTNERS PLLC

Dentist (General Practice)

9135 SCHAEFER RD
CONVERSE, TX 78109

Bexar County (720) 333-0579

DR. THADDEUS R TREGEAGLE DDS

Dentist

9135 SCHAEFER RD, 3
CONVERSE, TX 78109

Bexar County (210) 607-8232

PEDIATRIC ASSOCIATES OF CONVERSE, PA

Pediatrics (Adolescent Medicine)

9135 SCHAEFER RD, STE 4
CONVERSE, TX 78109

Bexar County (210) 281-5507

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ryan Broderick's NPI number?

The NPI number for Ryan Broderick is 1003294406. It was assigned to this individual provider in the NPPES registry on May 18, 2015.

Where is Ryan Broderick located?

Ryan Broderick practices at 9135 Schaefer Rd Ste 3, Converse, TX 78109. The listed phone number is (210) 607-8232.

What is Ryan Broderick's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Ryan Broderick enrolled in Medicare?

Yes. Ryan Broderick is registered in the Medicare PECOS enrollment system.

What insurance does Ryan Broderick accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 14 other insurers list Ryan Broderick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ryan Broderick was last updated on May 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.