Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Gregory Broderick

Optician in Sarasota, FL · enumerated 2014 · practices at Chanda W Wall Od PA.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1336551159

Verified

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Registry record

Entity type Individual (Type 1)

Name Gregory Broderick

Sex Male

Practice address Sarasota, FL, 34243

Phone (941) 359-1105

Fax (941) 359-1229

Enumeration date May 28, 2014

Last updated in NPPES May 28, 2014

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

156FX1800X Optician Eye and Vision Services Providers · License DO 5893 (FL) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Gregory Broderick practice?

The practice location on file with NPPES is in Sarasota, FL. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Gregory Broderick?

The National Provider Identifier (NPI) for Gregory Broderick is 1336551159, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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Chanda Wall Optometrist · Sarasota, FL NPI 1568685220 Chanda W Wall Od PA Optometrist · Sarasota, FL NPI 1649486408 Alane Clarke Optician · Sarasota, FL NPI 1003051194

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-05-28.