Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Daniela Prodanovic, MD

Individual provider Gastroenterology Physician · NPI 1104859628

Daniela Prodanovic, MD is a Gastroenterology in Brockton, Massachusetts. Qualified in 1985, 41 years ago. Practices with Jordan Physician Associates Inc, a 166-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
41
Licensed in
MA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

189 Quincy St
Brockton, MA 02302-2926
Phone: (508) 588-6700
Fax: (508) 584-3010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 223731 (MA)

Record details

NPI number1104859628
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 8, 2006
Last updated in NPPESJanuary 5, 2010
Mailing address189 Quincy St, Brockton, MA 02302-2926

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Group practice Jordan Physician Associates Inc — 166 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Brockton