ADAM LAWRENCE BRADDOCK MD
NPI 1013163542
Pediatrics in San Diego, CA

Q: What is Adam Braddock's NPI number?

The NPI number for Adam Braddock is 1013163542. It was assigned to this individual provider in the NPPES registry on August 15, 2008.

Q: What is Adam Braddock's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Adam Braddock was last updated on January 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 15, 2008PECOS Enrolled

7910 FROST ST, SUITE 350, SAN DIEGO, CA 92123(858) 496-4800 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Adam Lawrence Braddock Md NPPES

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

ADAM LAWRENCE BRADDOCK MD (NPI 1013163542) is an individual pediatrics provider in San Diego, California, licensed in California (A114671) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS and maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1013163542

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameADAM LAWRENCE BRADDOCKCredential: MD

Location Address7910 FROST ST, SUITE 350San Diego, CA 92123-2771

Mailing Address7910 Frost St, Suite 350San Diego, CA 92123-2771 · (858) 496-4800

Phone(858) 496-4800

Sole ProprietorNo

Enumeration DateAugust 15, 2008

Last NPPES UpdateJanuary 27, 2025

NPPES CertifiedJanuary 27, 2025

✔ NPI 1013163542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in CA · A114671✔ Licensed in IL · 125-053642

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedPediatrics · Developmental - Behavioral PediatricsTaxonomy 2080P0006X · License A114671 (CA)

7910 FROST ST, San Diego, CA 92123

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Secondary Practice Location 1

Location 14725 Market StSan Diego, CA 92102-4715 · Phone (619) 515-2560

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adam Lawrence Braddock Md 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 92123 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

Most-billed visit code 99214

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

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