DR. HYRUM BRODNIAK D.O.
NPI 1619319563
Family Medicine in Orlando, FL

Active since July 20, 2013PECOS EnrolledAccepts Medicare Assignment
9975 TAVISTOCK LAKES BLVD STE 220, ORLANDO, FL 32827(407) 930-7800 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jul 25, 2017 (3 updates tracked since 2017).

About Dr. Hyrum Brodniak D.o. NPPES

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

DR. HYRUM BRODNIAK D.O. (NPI 1619319563) is an individual family medicine provider in Orlando, Florida, licensed in Florida (OS13115) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and maintains a secondary practice location in Orlando.

NPPES Registry Identity

NPI1619319563
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. HYRUM BRODNIAKCredential: D.O.
Location Address9975 TAVISTOCK LAKES BLVD STE 220Orlando, FL 32827-7559
Mailing Address9975 Tavistock Lakes Blvd Ste 220Orlando, FL 32827-7559 · (407) 930-7800
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 20, 2013
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1619319563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in FL · OS13115 Licensed in FL · UO3645
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

9975 TAVISTOCK LAKES BLVD STE 220, Orlando, FL 32827

Secondary Practice Location 1

Location 17975 Lake Underhill Rd, Suite 210Orlando, FL 32822-8202 · Phone (407) 303-6830 · Fax (407) 303-6839

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

Dr. Hyrum Brodniak D.o. 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 ID6709014681
PECOS Enrollment IDI20171002001966
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.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
417 services166 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
136 services136 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
119 services119 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
113 services113 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
90 services33 patients
Osteopathic manipulative treatment, 9-10 body regions 98929
Osteopathic Manipulative Treatment (OMT) involves hands-on care. In a 9-10 body regions procedure, a doctor manipulates muscles and joints using techniques like stretching, gentle pressure, and resistance to improve health and wellness. It's often used to ease pain, promote healing, and increase overall mobility.
75 services12 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32827 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
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers21 claims68 services$6.64 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 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Massage Therapist
9975 TAVISTOCK LAKES BLVD STE 220
ORLANDO, FL 32827
Physical Medicine & Rehabilitation
9975 TAVISTOCK LAKES BLVD STE 220
ORLANDO, FL 32827
Family Medicine
9975 TAVISTOCK LAKES BLVD STE 220
ORLANDO, FL 32827
Family Medicine
9975 TAVISTOCK LAKES BLVD STE 220
ORLANDO, FL 32827
Internal Medicine (Gastroenterology)
9975 TAVISTOCK LAKES BLVD STE 220
ORLANDO, FL 32827
Physician Assistant
9975 TAVISTOCK LAKES BLVD STE 220
ORLANDO, FL 32827
Physician Assistant
9975 TAVISTOCK LAKES BLVD STE 220
ORLANDO, FL 32827
Nurse Practitioner (Family)
9975 TAVISTOCK LAKES BLVD STE 220
ORLANDO, FL 32827

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619319563, enumerated as an "individual" on July 20, 2013.

The provider is located at 9975 TAVISTOCK LAKES BLVD STE 220 ORLANDO, FL 32827 and the phone number is (407) 930-7800.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL), Florida. Please consult your insurance carrier or call the provider to verify.

Hyrum Brodniak is affiliated with: ADVENTHEALTH ORLANDO.