Look up the most recent NPI and PECOS records

Kathleen Broderick

Internal Medicine

Allopathic & Osteopathic Physicians

700 2nd Ave N, Ste 204, Naples, FL 34102-5756

PECOS Enrollment

Based on the most recent information from CMS, provider Kathleen Broderick is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1679678064
Provider Type
Individual
Full Name
Broderick, Kathleen
Credential
M.D.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
9/13/2006
Last Updated
3/18/2025

Contact Information

Practice Location

700 2nd Ave N, Ste 204, Naples, FL 34102-5756

(239) 263-2200

Unlisted Fax

Mailing Location

700 2nd Ave N, Ste 204, Naples, FL 34102-5756

(239) 263-2200

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License ME62912 Florida

Kathleen Broderick

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Koop, Hermes O

Camacho Caballero, Kiara D

Anand, Pavan K

Douglas, Elena

Internal Medicine, Emilia Murray,Md, Pa

Shields, Paul J

Murray, Emilia E

Hui, Teng

Tobal, Solnes A

Wvl Synergy Medical Services, Llc