RANDALL L BRADDOM MD LLC
NPI 1457820920
Physical Medicine & Rehabilitation in The Villages, FL

Active since November 14, 2018
1451 EL CAMINO REAL, THE VILLAGES, FL 32159(352) 751-8000 Get Directions Write a Review

NPPES record last updated: November 14, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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

NPI1457820920
Entity TypeOrganization
Primary Taxonomy208100000X
Legal Business NameRANDALL L BRADDOM MD LLC
Location Address1451 EL CAMINO REALThe Villages, FL 32159-0041
Mailing Address1093 Golden Grove DrThe Villages, FL 32162-4023 · (908) 601-7036
Organization SubpartNo
Authorized OfficialRandall L BraddomOwner/physician · (908) 601-7036
Enumeration DateNovember 14, 2018
✔ NPI 1457820920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
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.
1451 EL CAMINO REAL, The Villages, FL 32159

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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)

Physical Medicine and Rehabilitation
NPI 1255302360
1093 GOLDEN GROVE DR
The Villages, FL 32162
(908) 601-7036
✔ PECOS✔ Accepts Medicare4.2 mi

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.