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BRANDON BRADDOCK PA-C
NPI 1336536697
Physician Assistant in Saint Augustine, FL

Active since April 23, 2015Opted out of Medicare · through Jan 1, 2028
300 HEALTH PARK BLVD, SUITE 4000, SAINT AUGUSTINE, FL 32086(904) 824-8666 Get Directions Write a Review

NPPES record last updated: May 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brandon Braddock Pa-c NPPES

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

BRANDON BRADDOCK PA-C (NPI 1336536697) is an individual physician assistant in Saint Augustine, Florida, licensed in Florida (PA9108661) and active in the NPI registry since April 2015. He has opted out of Medicare through January 1, 2028 and remains eligible to order and refer, is affiliated with Flagler Hospital, and maintains a secondary practice location in St. Augustine.

NPPES Registry Identity

NPI1336536697
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBRANDON BRADDOCKCredential: PA-C
Location Address300 HEALTH PARK BLVD, SUITE 4000Saint Augustine, FL 32086-3707
Mailing Address607 Peggy PlSaint Augustine, FL 32086-7199 · (904) 540-5454
Phone(904) 824-8666
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateApril 23, 2015
Last NPPES UpdateMay 31, 2024
NPPES CertifiedMay 25, 2024
✔ NPI 1336536697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9108661
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
300 HEALTH PARK BLVD, Saint Augustine, FL 32086
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Secondary Practice Location 1

Location 13175 A1A South, Suite 2St. Augustine, FL 32080 · Phone (904) 540-5454

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Brandon Braddock Pa-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2026 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2026
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Flagler Hospital

Acute Care Hospitals · Saint Augustine, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100090
Location400 Health Park BlvdSaint Augustine, FL 32086 · St. Johns County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32086 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
31%484 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers13 claims68 services$1.85 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers28 claims28 services$13.92 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
2 suppliers19 claims19 services$919.49 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers34 claims34 services$4.55 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers23 claims23 services$25.50 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
6 suppliers65 claims65 services$73.44 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ERIC PULSFUS MD
Obstetrics & Gynecology
300 HEALTH PARK BLVD, #3002
ST AUGUSTINE, FL 32086
St. Johns County (904) 819-1500
LORRAINE M SEARLE CNM
Advanced Practice Midwife
300 HEALTH PARK BLVD, SUITE 3002
ST AUGUSTINE, FL 32086
St. Johns County (904) 814-8321
LIGHTHOUSE PAIN AND SPINE SPECIALISTS
Anesthesiology (Pain Medicine)
300 HEALTH PARK BLVD, SUITE 5008
ST AUGUSTINE, FL 32086
St. Johns County (904) 823-8823
DR. ROBERT TRENT MAREMA M.D., F.A.C.S.
Surgery
300 HEALTH PARK BLVD, 5002
ST. AUGUSTINE, FL 32086
St. Johns County (904) 819-5861
NEUROLOGY CONSULTANTS INC
Psychiatry & Neurology (Neurology)
300 HEALTH PARK BLVD, SUITE 5010
ST AUGUSTINE, FL 32086
St. Johns County (904) 808-0406
DR. VINOD DESHMUKH M.D., PH.D.
Specialist
300 HEALTH PARK BLVD, SUITE 5010
ST AUGUSTINE, FL 32086
St. Johns County (904) 808-0406
DRS BAKER & GILMOUR MD PA
Internal Medicine (Cardiovascular Disease)
300 HEALTH PARK BLVD, SUITE 1006
ST AUGUSTINE, FL 32086
St. Johns County (904) 794-7050
FAISAL USMAN MD
Internal Medicine (Critical Care Medicine)
300 HEALTH PARK BLVD, STE 4000
ST AUGUSTINE, FL 32086
St. Johns County (904) 824-8666

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 Brandon Braddock's NPI number?

The NPI number for Brandon Braddock is 1336536697. It was assigned to this individual provider in the NPPES registry on April 23, 2015.

Where is Brandon Braddock located?

Brandon Braddock practices at 300 Health Park Blvd Suite 4000, Saint Augustine, FL 32086. The listed phone number is (904) 824-8666.

What is Brandon Braddock's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Brandon Braddock enrolled in Medicare?

No. Brandon Braddock has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Brandon Braddock accept?

Health plans from AvMed list Brandon Braddock 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.

Is Brandon Braddock affiliated with any hospitals?

According to CMS data, Brandon Braddock is affiliated with Flagler Hospital.

When was this NPI record last updated?

The NPPES record for Brandon Braddock was last updated on May 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.