DR. RANDALL L BRADDOM M.D.
NPI 1255302360
Physical Medicine & Rehabilitation in The Villages, FL

Active since January 27, 2006PECOS EnrolledAccepts Medicare Assignment
1093 GOLDEN GROVE DR, THE VILLAGES, FL 32162(908) 601-7036(352) 561-4512 Get Directions Write a Review

NPPES record last updated: June 3, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Randall L Braddom M.d. NPPES

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

DR. RANDALL L BRADDOM M.D. (NPI 1255302360) is an individual physical medicine & rehabilitation provider in The Villages, Florida, licensed in New Jersey (25MA02637400) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Medicine (1968).

NPPES Registry Identity

NPI1255302360
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NameDR. RANDALL L BRADDOMCredential: M.D.
Location Address1093 GOLDEN GROVE DRThe Villages, FL 32162-4023
Mailing Address1093 Golden Grove DrThe Villages, FL 32162-4023 · (908) 601-7036 · Fax (352) 561-4512
Fax(352) 561-4512
Sole ProprietorYes
Medical School CMSOhio State University College Of MedicineGraduated 1968
Enumeration DateJanuary 27, 2006
Last NPPES UpdateJune 3, 2013
NPI 1255302360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License Licensed in NJ · 25MA02637400
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
1093 GOLDEN GROVE DR, The Villages, FL 32162

Other Identifiers 3

Medicare UPINA71391NJ
Medicaid9074201NJ
Medicare ID-Type Unspecified067334BWONJ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Randall L Braddom M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648395277
PECOS Enrollment IDI20150206001345
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.

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 Randall Braddom's NPI number?

The NPI number for Randall Braddom is 1255302360. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Where is Randall Braddom located?

Randall Braddom practices at 1093 Golden Grove Dr, The Villages, FL 32162. The listed phone number is (908) 601-7036.

What is Randall Braddom's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Randall Braddom enrolled in Medicare?

Yes. Randall Braddom is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Randall Braddom was last updated on June 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.