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BRAD BROYLES MD
NPI 1629033493
Psychiatry & Neurology - Psychiatry in Leesburg, FL

Active since April 17, 2006PECOS Enrolled
2018 TALLEY RD, LEESBURG, FL 34748(352) 315-7500(352) 360-6582 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Brad Broyles Md NPPES

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

BRAD BROYLES MD (NPI 1629033493) is an individual psychiatry provider in Leesburg, Florida, licensed in Florida (ME 0071307) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629033493
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameBRAD BROYLESCredential: MD
Location Address2018 TALLEY RDLeesburg, FL 34748-3426
Mailing AddressPo Box 491000Leesburg, FL 34749-1000 · (352) 315-7500 · Fax (352) 360-6582
Phone(352) 315-7500
Fax(352) 360-6582
Sole ProprietorNo
Enumeration DateApril 17, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1629033493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in FL · ME 0071307
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
2018 TALLEY RD, Leesburg, FL 34748
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Other Identifiers 2

Medicaid263317500FL
Other03386FL · Blue Cross Blue Shield #

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brad Broyles Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Brad Broyles reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lifestream Behavioral Center Inc
0.1 mi
Psychiatric Hospital
2020 TALLEY RD
Leesburg, FL 34748
  • Reassigned Medicare billing, Florida enrollment
  • 37 clinicians in this Medicare group
NPI 1902802002 (352) 315-7800
Mental Health Resource Center Inc
102 mi
Community Health
11820 BEACH BLVD
Jacksonville, FL 32246
  • Reassigned Medicare billing, Florida enrollment
  • 30 clinicians in this Medicare group
NPI 1851407365 (904) 642-9100

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34748 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
$171.84 typical visit price
range $56.00 – $171.84
Typical copayment $42.96 (range $14.00 – $42.96)
Most-billed visit code 99205
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 8

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

CHERYL COMES
Counselor (Addiction (Substance Use Disorder))
2018 TALLEY RD
LEESBURG, FL 34748
Lake County (352) 315-7400
PATRICIA MING
Case Manager/Care Coordinator
2018 TALLEY RD
LEESBURG, FL 34748
Lake County (352) 315-7400
JESSICA COUGLER CAP
Counselor (Mental Health)
2018 TALLEY RD
LEESBURG, FL 34748
Lake County (352) 315-7400
HOPE HARVEY LMHC
Counselor (Mental Health)
2018 TALLEY RD
LEESBURG, FL 34748
Lake County (352) 315-7400
TARA LYNNE MURPHY LMHC
Counselor (Mental Health)
2018 TALLEY RD
LEESBURG, FL 34748
Lake County (352) 315-7500
LIZBETH HERBERT CASE MANAGEMENT
Case Manager/Care Coordinator
2018 TALLEY RD
LEESBURG, FL 34748
Lake County (352) 315-7422
SHELBY J CHAVIS MA
Case Manager/Care Coordinator
2018 TALLEY RD
LEESBURG, FL 34748
Lake County (352) 315-7420
TERRI LYNN MCDONALD LCSW
Social Worker (Clinical)
2018 TALLEY RD
LEESBURG, FL 34748
Lake County (352) 315-7400

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 Brad Broyles's NPI number?

The NPI number for Brad Broyles is 1629033493. It was assigned to this individual provider in the NPPES registry on April 17, 2006.

Where is Brad Broyles located?

Brad Broyles practices at 2018 Talley Rd, Leesburg, FL 34748. The listed phone number is (352) 315-7500.

What is Brad Broyles's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Brad Broyles enrolled in Medicare?

Yes. Brad Broyles is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Brad Broyles's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brad Broyles reassigns Medicare benefits to 2 organizations: Lifestream Behavioral Center Inc (Leesburg, FL) and Mental Health Resource Center Inc (Jacksonville, FL). Each 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 Brad Broyles's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brad Broyles accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan and Ambetter of Alabama list Brad Broyles 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.

When was this NPI record last updated?

The NPPES record for Brad Broyles was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.