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PATRICK THOMAS BRODERICK MD
NPI 1760691083
Pediatrics - Pediatric Cardiology in Savannah, GA

Active since May 22, 2007PECOS Enrolled
4700 WATERS AVE, 2ND FLOOR, GEORGIA EAR, SAVANNAH, GA 31404(912) 988-5050 Get Directions Write a Review

NPPES record last updated: July 29, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Patrick Thomas Broderick Md NPPES

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

PATRICK THOMAS BRODERICK MD (NPI 1760691083) is an individual pediatric cardiology provider in Savannah, Georgia, licensed in Georgia (065999) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Georgia School Of Medicine (2005).

NPPES Registry Identity

NPI1760691083
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NamePATRICK THOMAS BRODERICKCredential: MD
Location Address4700 WATERS AVE, 2ND FLOOR, GEORGIA EARSavannah, GA 31404-6220
Mailing Address4700 Waters Ave, 2nd Floor, Georgia EarSavannah, GA 31404-6220 · (912) 988-5050
Phone(912) 988-5050
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2005
Enumeration DateMay 22, 2007
Last NPPES UpdateJuly 29, 2011
✔ NPI 1760691083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in GA · 065999
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Also ListedPediatricsTaxonomy 208000000X · License 2008018932 (MO), 27983AL (AL)
4700 WATERS AVE, Savannah, GA 31404
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Patrick Thomas Broderick Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840462560
PECOS Enrollment IDI20110930000370
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.

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.

KRISTEN BEELER DO
Pediatrics (Physician Nutrition Specialist)
4700 WATERS AVE
SAVANNAH, GA 31404
Chatham County (912) 350-8000
ERIN NICOLLE JOHNSON MD
Student in an Organized Health Care Education/Training Program
4700 WATERS AVE
SAVANNAH, GA 31404
Chatham County (912) 350-8000
DR. RAMON VERNON MEGUIAR M.D.
Obstetrics & Gynecology
4700 WATERS AVE, SUITE CAM 500
SAVANNAH, GA 31404
Chatham County (912) 350-9456
BETHANY LANDIS STEARNS ATC
Specialist/Technologist (Athletic Trainer)
4700 WATERS AVE
SAVANNAH, GA 31404
Chatham County (912) 350-8000
JEAN TOFFEY DO
General Practice
4700 WATERS AVE
SAVANNAH, GA 31404
Chatham County (912) 350-7573
DR. KINHTU LIEN MD
Student in an Organized Health Care Education/Training Program
4700 WATERS AVE
SAVANNAH, GA 31404
Chatham County (912) 350-7573
SAVANNAH MULTISPECIALTY ASSOCIATES, LLC
Surgery (Surgical Critical Care)
4700 WATERS AVE
SAVANNAH, GA 31404
Chatham County (912) 350-8000
BRADLEY POST
Emergency Medicine
4700 WATERS AVE
SAVANNAH, GA 31404
Chatham County (912) 350-3849

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 Patrick Broderick's NPI number?

The NPI number for Patrick Broderick is 1760691083. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Patrick Broderick located?

Patrick Broderick practices at 4700 Waters Ave 2nd Floor, Georgia Ear, Savannah, GA 31404. The listed phone number is (912) 988-5050.

What is Patrick Broderick's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Patrick Broderick enrolled in Medicare?

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

What insurance does Patrick Broderick accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Patrick 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.

When was this NPI record last updated?

The NPPES record for Patrick Broderick was last updated on July 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.