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KEVIN BRODERICK
NPI 1639449721
Ophthalmology - Retina Specialist in Bethesda, MD

Active since January 05, 2012PECOS Enrolled
8901 WISCONSIN AVE, BETHESDA, MD 20889(301) 295-1339 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 21, 2025, Nov 6, 2019, Jun 21, 2018 (3 updates tracked since 2018).

About Kevin Broderick NPPES

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

KEVIN BRODERICK (NPI 1639449721) is an individual retina specialist in Bethesda, Maryland, licensed in Maryland (D84883) and active in the NPI registry since January 2012. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1639449721
Entity TypeIndividualMale
Primary Taxonomy207WX0107X
Provider Legal NameKEVIN BRODERICK
Location Address8901 WISCONSIN AVEBethesda, MD 20889-6956
Mailing Address9706 Deep SmokeColumbia, MD 21046-2807
Phone(301) 295-1339
Sole ProprietorYes
Enumeration DateJanuary 5, 2012
Last NPPES UpdateMarch 21, 20253 updates tracked since enumeration
NPPES CertifiedMarch 21, 2025
✔ NPI 1639449721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
Licenses✔ Licensed in MD · D84883✔ Licensed in VA · 0101264466✔ Licensed in DC · MD45933
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Also ListedOphthalmologyTaxonomy 207W00000X · License MD045933 (DC)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
8901 WISCONSIN AVE, Bethesda, MD 20889
Open in Google Maps ↗

Secondary Practice Locations 3

Location 17501 Greenway Center Dr # 300Greenbelt, MD 20770-3514 · Phone (301) 474-4679
Location 2660 Pennsylvania Ave SE Frnt 2Washington, DC 20003 · Phone (202) 331-1188 · Fax (202) 833-8872
Location 35454 Wisconsin Ave Ste 650Chevy Chase, MD 20815-6956 · Phone (301) 656-8100 · Fax (301) 652-2957

Other Identifiers 1

Medicaid1639449721VA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin Broderick 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20889 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

DR. TAMMERA NELSON
Pharmacist
8901 WISCONSIN AVE
BETHESDA, MD 20889
Montgomery County (301) 295-4497
DAWOOD TAFTI M.D.
Radiology (Diagnostic Radiology)
8901 WISCONSIN AVE
BETHESDA, MD 20889
Montgomery County (301) 319-8373
DR. ASHLEY BEE BOZZAY
Student in an Organized Health Care Education/Training Program
8901 WISCONSIN AVE
BETHESDA, MD 20889
Montgomery County (301) 295-8588
DR. ADAM JOSEPH MAIER DO
Internal Medicine (Infectious Disease)
8901 WISCONSIN AVE
BETHESDA, MD 20889
Montgomery County (301) 295-4000
OANA MARIA POVIAN STROIE MD
General Practice
8901 WISCONSIN AVE
BETHESDA, MD 20889
Montgomery County (301) 295-4000
SIMAL RUHISHTA ALI DO
General Practice
8901 WISCONSIN AVE
BETHESDA, MD 20889
Montgomery County (301) 295-4900
DR. JACOB L FRIESEN M.D.
Psychiatry & Neurology (Psychiatry)
8901 WISCONSIN AVE, WRNMMC, NICOE, BUILDING 51
BETHESDA, MD 20889
Montgomery County (301) 319-3772
MS. CARLA PATRICE ALEXIS P.T.
Physical Therapist
8901 WISCONSIN AVE
BETHESDA, MD 20889
Montgomery County (301) 295-4880

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 Kevin Broderick's NPI number?

The NPI number for Kevin Broderick is 1639449721. It was assigned to this individual provider in the NPPES registry on January 5, 2012.

Where is Kevin Broderick located?

Kevin Broderick practices at 8901 Wisconsin Ave, Bethesda, MD 20889. The listed phone number is (301) 295-1339.

What is Kevin Broderick's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Kevin Broderick enrolled in Medicare?

Yes. Kevin Broderick is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kevin Broderick was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.