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DR. GARY PAUL BRODEUR D.C.
NPI 1427165208
Chiropractor in Summerfield, FL

Active since August 25, 2006Accepts Medicare Assignment
16345 SE 83RD AVE, SUMMERFIELD, FL 34491(401) 391-3063 Get Directions Write a Review

NPPES record last updated: March 14, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Gary Paul Brodeur D.c. NPPES

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

DR. GARY PAUL BRODEUR D.C. (NPI 1427165208) is an individual chiropractor in Summerfield, Florida, licensed in Rhode Island (DCP000366) and active in the NPI registry since August 2006. He is a graduate of Palmer College Chiropractic - Davenport (1996).

NPPES Registry Identity

NPI1427165208
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. GARY PAUL BRODEURCredential: D.C.
Location Address16345 SE 83RD AVESummerfield, FL 34491-7053
Mailing Address16345 Se 83rd AveSummerfield, FL 34491-7053 · (401) 391-3063
Phone(401) 391-3063
Sole ProprietorYes
Medical School CMSPalmer College Chiropractic - DavenportGraduated 1996
Enumeration DateAugust 25, 2006
Last NPPES UpdateMarch 14, 2017
✔ NPI 1427165208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in RI · DCP000366
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
16345 SE 83RD AVE, Summerfield, FL 34491
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Other Identifiers 2

Medicare UPINU67441RI
Medicare PIN358007613

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Gary Paul Brodeur D.c. 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 ID2961660428
PECOS Enrollment IDI20170728003214

Medicare Billing Reassignment

Medicare enrollment records show Gary Brodeur reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chiropractic Usa Of Buffalo Ridge Inc
3.9 mi
Chiropractor
3614 WEDGEWOOD LN
The Villages, FL 32162
  • Reassigned Medicare billing, Florida enrollment
  • 3 clinicians in this Medicare group
NPI 1568776276 (352) 259-2225

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
782 services52 patients

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 Gary Brodeur's NPI number?

The NPI number for Gary Brodeur is 1427165208. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is Gary Brodeur located?

Gary Brodeur practices at 16345 SE 83rd Ave, Summerfield, FL 34491. The listed phone number is (401) 391-3063.

What is Gary Brodeur's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Gary Brodeur enrolled in Medicare?

Yes. Gary Brodeur 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.

Which organization bills Medicare for Gary Brodeur's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gary Brodeur reassigns Medicare benefits to Chiropractic Usa Of Buffalo Ridge Inc (The Villages, FL). 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 Gary Brodeur'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 Gary Brodeur was last updated on March 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.