RANDALL L BRADDOM MD LLC
NPI 1457820920
Physical Medicine & Rehabilitation in The Villages, FL
About Randall L Braddom Md Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RANDALL L BRADDOM MD LLC (NPI 1457820920) is a healthcare organization registered as a physical medicine & rehabilitation in The Villages, Florida and active in the NPI registry since November 2018. The organization lists Randall L Braddom, Owner/physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Randall L Braddom Md Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Randall L Braddom MD LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 L Braddom MD LLC's NPI number?
The NPI number for Randall L Braddom MD LLC is 1457820920. It was assigned to this organization in the NPPES registry on November 14, 2018.
Where is Randall L Braddom MD LLC located?
Randall L Braddom MD LLC is located at 1451 El Camino Real, The Villages, FL 32159. The listed phone number is (352) 751-8000.
What is Randall L Braddom MD LLC's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.
Is Randall L Braddom MD LLC enrolled in Medicare?
Yes. Randall L Braddom MD LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Randall L Braddom MD LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Medicine and Rehabilitation) reassigns their Medicare billing to Randall L Braddom MD LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Randall L Braddom MD LLC was last updated on November 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.