JESSICA LYNN BRODERICK DO
NPI 1538728225
Surgery in Longview, TX

Active since June 06, 2019PECOS EnrolledAccepts Medicare Assignment
707 HOLLYBROOK DR, LONGVIEW, TX 75605(903) 757-6042 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 5, 2024, Jun 28, 2024, Jun 6, 2019 (3 updates tracked since 2019).

About Jessica Lynn Broderick Do NPPES

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

JESSICA LYNN BRODERICK DO (NPI 1538728225) is an individual surgery provider in Longview, Texas, licensed in Texas (V2445) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Longview Regional Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1538728225
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameJESSICA LYNN BRODERICKCredential: DO
Location Address707 HOLLYBROOK DRLongview, TX 75605-2410
Mailing Address707 Hollybrook DrLongview, TX 75605-2410 · (903) 757-6042
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 6, 2019
Last NPPES UpdateOctober 2, 20253 updates tracked since enumeration
NPPES CertifiedOctober 2, 2025
NPI 1538728225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in TX · V2445
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

707 HOLLYBROOK DR, Longview, TX 75605

Other Names 1

Former Name (1)Jessica Lynn Bevlin

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jessica Lynn Broderick Do 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 ID446797674
PECOS Enrollment IDI20240805003393
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

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

Longview Regional Medical Center

Acute Care Hospitals · Longview, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450702
Location2901 N Fourth StLongview, TX 75605 · Gregg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75605 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

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.

Internal Medicine
707 HOLLYBROOK DR
LONGVIEW, TX 75605
Pediatrics
707 HOLLYBROOK DR
LONGVIEW, TX 75605
Nurse Practitioner
707 HOLLYBROOK DR
LONGVIEW, TX 75605
Nurse Practitioner
707 HOLLYBROOK DR
LONGVIEW, TX 75605
Internal Medicine
707 HOLLYBROOK DR
LONGVIEW, TX 75605
Pediatrics
707 HOLLYBROOK DR
LONGVIEW, TX 75605
Nurse Practitioner
707 HOLLYBROOK DR
LONGVIEW, TX 75605
Nurse Practitioner
707 HOLLYBROOK DR
LONGVIEW, TX 75605

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 Jessica Broderick's NPI number?

The NPI number for Jessica Broderick is 1538728225. It was assigned to this individual provider in the NPPES registry on June 6, 2019. The provider is also known as Jessica Lynn Bevlin.

Where is Jessica Broderick located?

Jessica Broderick practices at 707 Hollybrook Dr, Longview, TX 75605. The listed phone number is (903) 757-6042.

What is Jessica Broderick's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Jessica Broderick enrolled in Medicare?

Yes. Jessica Broderick 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.

What insurance does Jessica Broderick accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Jessica Broderick 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 Jessica Broderick affiliated with any hospitals?

According to CMS data, Jessica Broderick is affiliated with Longview Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Jessica Broderick was last updated on October 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.