DR. AARON DANIEL BRODERICK D.M.D.
NPI 1902126147
Dentist - Periodontics in Fort Myers, FL

Q: What is Aaron Broderick's NPI number?

The NPI number for Aaron Broderick is 1902126147. It was assigned to this individual provider in the NPPES registry on June 10, 2010.

Q: What is Aaron Broderick's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: When was this NPI record last updated?

The NPPES record for Aaron Broderick was last updated on March 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 10, 2010PECOS Enrolled

10580 COLONIAL BLVD STE 103, FORT MYERS, FL 33913(239) 210-2926(239) 332-0942 Get Directions Write a Review

NPPES record last updated: March 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 4, 2022, Feb 23, 2016 (2 updates tracked since 2016).

On this page

About Dr. Aaron Daniel Broderick D.m.d. NPPES

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

DR. AARON DANIEL BRODERICK D.M.D. (NPI 1902126147) is an individual periodontics provider in Fort Myers, Florida, licensed in Florida (DN 19413) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902126147

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameDR. AARON DANIEL BRODERICKCredential: D.M.D.

Location Address10580 COLONIAL BLVD STE 103Fort Myers, FL 33913-8703

Mailing Address9250 College Pkwy, Ste 1Fort Myers, FL 33919-4847 · (293) 437-4014 · Fax (239) 437-0306

Phone(239) 210-2926

Fax(239) 332-0942

Sole ProprietorYes

Enumeration DateJune 10, 2010

Last NPPES UpdateMarch 4, 20222 updates tracked since enumeration

NPPES CertifiedMarch 4, 2022

✔ NPI 1902126147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in FL · DN 19413

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

10580 COLONIAL BLVD STE 103, Fort Myers, FL 33913

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield 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)

Dr. Aaron Daniel Broderick D.m.d. 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 33913 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$73.00 typical visit price

range $18.44 – $144.68

Typical copayment $18.25 (range $4.61 – $36.17)

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.

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 Aaron Broderick's NPI number?

The NPI number for Aaron Broderick is 1902126147. It was assigned to this individual provider in the NPPES registry on June 10, 2010.

Where is Aaron Broderick located?

Aaron Broderick practices at 10580 Colonial Blvd Ste 103, Fort Myers, FL 33913. The listed phone number is (239) 210-2926.

What is Aaron Broderick's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Aaron Broderick enrolled in Medicare?

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

What insurance does Aaron Broderick accept?

Health plans from Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross and Blue Shield of Alabama and 14 other insurers list Aaron 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 Aaron Broderick was last updated on March 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.