ADAM LAWRENCE BRADDOCK MD
NPI 1013163542
Pediatrics in San Diego, CA
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.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Adam Lawrence Braddock Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Adam Braddock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92103
- Reassigned Medicare billing, California enrollment
- 1,100 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92123
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 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.
Where is Adam Braddock located?
Adam Braddock practices at 7910 Frost St Suite 350, San Diego, CA 92123. The listed phone number is (858) 496-4800.
What is Adam Braddock's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Adam Braddock enrolled in Medicare?
Yes. Adam Braddock is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Adam Braddock's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Adam Braddock reassigns Medicare benefits to Family Health Centers Of San Diego Inc (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Adam Braddock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Adam Braddock was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days 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.
# Adam Lawrence Braddock, MD · NPI 1013163542
Pediatrics physician in San Diego, California. Individual provider, active in the CMS NPPES registry since August 15, 2008.
## Identity
- **NPI:** 1013163542 (Entity type: Individual)
- **Enumerated:** August 15, 2008
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** A114671 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 7910 FROST ST, SUITE 350, San Diego, CA 92123-2771
- **Phone:** (858) 496-4800
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Family Health Centers Of San Diego Inc (NPI 1629456900, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 24, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1013163542) · Data from the CMS NPPES public registry.