MARK BRODERSEN MD
NPI 1326038175
Orthopaedic Surgery in Jacksonville, FL

Active since October 24, 2005
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224(904) 953-2000 Get Directions Write a Review

NPPES record last updated: March 30, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 30, 2021, Sep 1, 2020, Dec 13, 2017 (3 updates tracked since 2017).

About Mark Brodersen Md NPPES

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

MARK BRODERSEN MD (NPI 1326038175) is an individual orthopaedic surgery provider in Jacksonville, Florida, licensed in Florida (ME66126) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1326038175
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameMARK BRODERSENCredential: MD
Location Address4500 SAN PABLO RD SJacksonville, FL 32224-1865
Mailing Address4500 San Pablo Rd SJacksonville, FL 32224-1865
Sole ProprietorNo
Enumeration DateOctober 24, 2005
Last NPPES UpdateMarch 30, 20213 updates tracked since enumeration
NPPES CertifiedMarch 30, 2021
NPI 1326038175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in FL · ME66126
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
4500 SAN PABLO RD S, Jacksonville, FL 32224

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.

Physician Assistant
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Internal Medicine (Gastroenterology)
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Orthopaedic Surgery
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Internal Medicine
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Hospitalist
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Nurse Anesthetist, Certified Registered
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Nurse Anesthetist, Certified Registered
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Physician Assistant
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224

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 Mark Brodersen's NPI number?

The NPI number for Mark Brodersen is 1326038175. It was assigned to this individual provider in the NPPES registry on October 24, 2005.

Where is Mark Brodersen located?

Mark Brodersen practices at 4500 San Pablo Rd S, Jacksonville, FL 32224. The listed phone number is (904) 953-2000.

What is Mark Brodersen's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

When was this NPI record last updated?

The NPPES record for Mark Brodersen was last updated on March 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.