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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
ME97336 | FL | Allopathic & Osteopathic Physicians |
Street Address |
1600 SW ARCHER RD |
City | GAINESVILLE |
State | FL |
Zip Code | 32610-3003 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 32610 |
Taxonomy Code | 2084F0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Forensic Psychiatry |
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] |
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 |
City | GAINESVILLE |
Zip Code | 32610 |
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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.