Adam Lawrence Braddock, MD in San Diego, CA

Adam Lawrence Braddock, MD is a medicare enrolled "Pediatrics" physician in San Diego, California. His current practice location is 7910 Frost St, Suite 350, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (858) 496-4800.

Adam Lawrence Braddock is licensed to practice in California (license number A114671) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1013163542.

Contact Information

	Adam Lawrence Braddock, MD
	7910 Frost St, Suite 350, San Diego, CA 92123-2771
	(858) 496-4800
	Not Available

Map and Direction

Physician's Profile

Full Name	Adam Lawrence Braddock
Gender	Male
Speciality	Pediatrics
Location	7910 Frost St, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013163542
Provider Enumeration Date: 08/15/2008
Last Update Date: 01/27/2025

Medicare PECOS Information:

PECOS PAC ID: 6305078411
Enrollment ID: I20140403001616

Medical Identifiers

Medical identifiers for Adam Lawrence Braddock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013163542	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	125-053642 (Illinois)	Secondary
2080P0006X	Pediatrics - Developmental - Behavioral Pediatrics	A114671 (California)	Secondary
208000000X	Pediatrics	A114671 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Adam Lawrence Braddock allows following entities to bill medicare on his behalf.

Entity Name	Centro De Salud De La Comunidad De San Ysidro, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124782685 PECOS PAC ID: 6901709435 Enrollment ID: O20040130000711

Entity Name	Family Health Centers Of San Diego Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447281936 PECOS PAC ID: 3476446378 Enrollment ID: O20040204000923

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Adam Lawrence Braddock is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Adam Lawrence Braddock, MD 7910 Frost St, Suite 350, San Diego, CA 92123-2771 Ph: (858) 496-4800	Adam Lawrence Braddock, MD 7910 Frost St, Suite 350, San Diego, CA 92123-2771 Ph: (858) 496-4800

Reviews and Comments

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Dr. Javier Rodriguez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4060 Fairmount Ave, Pediatrics Department, San Diego, CA 92105 Phone: 619-255-9154 Fax: 619-795-9847
Robert Miller Sheets, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8110 Birmingham Way, San Diego, CA 92123 Phone: 858-966-8082

Adam Lawrence Braddock, MD - Medicare Pediatrics in San Diego, CA