DR. TODD BRODER


Address: 1600 Sw Archer Rd, Gainesville, FL 32610-3003
Phone: 3523928013

DR. TODD BRODER (NPI# 1699849349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699849349
Entity Type Individual
Full Name DR. TODD BRODER
Credential M.D.
Practice Address 1600 Sw Archer Rd
Gainesville
FL 32610-3003
Mailing Address 400 Health Park Blvd
Saint Augustine
FL 32086-5784
Practice Telephone 3523928013
Mailing Telephone 9543282863
Mailing Fax Number 9048194041
Enumeration Date 2006-11-17
Last Update Date 2016-08-10
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084F0202X Psychiatry & Neurology
Specialization: Forensic Psychiatry
ME97336 FL Allopathic & Osteopathic Physicians

Office Location

Street Address 1600 SW ARCHER RD
City GAINESVILLE
State FL
Zip Code 32610-3003

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669475554 Walter J Milton Radiology 1600 Sw Archer Rd, Gainesville, FL 32610-3003 2005-05-24
1104427251 Morgan Elizabeth Gilbert Nurse Practitioner 1600 Sw Archer Rd, Gainesville, FL 32610-3003 2020-11-05
1598365306 Kristin Renee Lapham Nurse Practitioner 1600 Sw Archer Rd, Gainesville, FL 32610-3003 2020-10-30
1225638174 Leigha Fridley Student in an Organized Health Care Education/Training Program 1600 Sw Archer Rd, Gainesville, FL 32610-3003 2020-10-29
1962000950 Kelli O'shaughnessy Physician Assistant 1600 Sw Archer Rd, Gainesville, FL 32610-3003 2020-10-13
1053919985 Amber Lynn Bart Nurse Practitioner 1600 Sw Archer Rd, Gainesville, FL 32610-3003 2020-10-13
1134726847 Emily Elizabeth Farhat Social Worker 1600 Sw Archer Rd, Gainesville, FL 32610-3003 2020-10-06
1346847944 Nicholas Scott Duarte Physician Assistant 1600 Sw Archer Rd, Gainesville, FL 32610-3003 2020-10-06
1922613231 Trinh Nguyen Pharmacist 1600 Sw Archer Rd, Gainesville, FL 32610-3003 2020-09-14
1053926501 Annalise Deboef Nurse Practitioner 1600 Sw Archer Rd, Gainesville, FL 32610-3003 2020-09-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003440660 Thy Cam Huynh Occupational Therapist 1549 Gale Lemerand Dr, Gainesville, FL 32610 2020-02-23
1093359226 Lauren Anne Ruddocks Dentist University of Florida College of Dentistry, 1395 Center Drive, Gainesville, FL 32610 2019-10-31
1104310549 Brandon Lucke-wold Neurological Surgery 1149 S Newell Dr Deapartment of Neurosurgery Bldg #59, Gainesville, FL 32610 2018-06-19
1619465754 Carlos Eduardo Vervloet Sollero Student in an Organized Health Care Education/Training Program 1149 Newell Drive, University of Florida, Department of Neurology, Gainesville, FL 32610 2018-04-24
1811359151 Ramsha A. Kudia Internal Medicine 1549 Gale Lemerand Drive, 3rd Floor, Gainesville, FL 32610 2016-03-25
1447619937 Wajdi Mohammed Dentist 1395 Center Dr., D8-6, Gainesville, FL 32610 2016-02-12
1922484344 Kavan Ashit Gandhi Dentist 1395 Center Drive D7-19, Gainesville, FL 32610 2015-08-07
1972981512 David Shin Student in an Organized Health Care Education/Training Program 1600 Sw Archer Road, Fl 1, Rm 1097, Gainesville, FL 32610 2015-05-15
1669887485 Alejandro Jose Delgado Dentist 1395 Center Drive, University of Florida, College of Dentistry, Gainsville, FL 32610 2014-07-01
1194167296 Zain Shahid Student in an Organized Health Care Education/Training Program 1600 Sw Archer Rd # Ng-45, Gainesville, FL 32610 2013-07-18
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Taxonomy Information

Taxonomy Code 2084F0202X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Forensic Psychiatry

Taxonomy Definition

Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144548611 Family & Forensic Psychiatry Psychiatry & Neurology 4965 Sw 91st Ter Ste A, Gainesville, FL 32608-8155 2010-05-09
1619160298 Alan J. Waldman Psychiatry & Neurology 2727 Nw 43rd Street, Gainesville, FL 32606 2007-08-27
1922195981 Emily Reiter Goddard Psychiatry & Neurology 8491 Nw 39th Ave, Gainesville, FL 32606-5635 2006-10-09
1528323417 Robert Christopher Eaton Psychiatry & Neurology 6500 W Newberry Rd, Gainesville, FL 32605-4309 2012-07-07
1053598714 Cipriano S Fernandes Psychiatry & Neurology 1200 Ne 55th Blvd, North Florida Eval/treatment Center, Gainesville, FL 32641-2783 2008-01-24
1659587707 Kathryn Jean Ednie Psychiatry & Neurology 1200 Ne 55th Blvd, Gainesville, FL 32641-2783 2007-05-15
1477697753 Norman David Guthrie Psychiatry & Neurology 1200 Ne 55th Blvd, Gainesville, FL 32641-2783 2007-02-19
1851470819 Eduardo Infante Psychiatry & Neurology 1200 Ne 55th Blvd, Gainesville, FL 32641-2783 2006-11-02
1033215942 Yolanda Caridad Hernandez Psychiatry & Neurology 1200 Ne 55th Blvd, Gainesville, FL 32641-2783 2006-09-16
1891704714 Joel Silberberg Psychiatry & Neurology 1600 Sw Archer Rd, Gainesville, FL 32610-3001 2006-08-07
Find all providers in GAINESVILLE

Competitor

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City GAINESVILLE
Zip Code 32610

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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