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

Dr. Matthew Todd Braddock, DO

Individual provider Family Medicine Physician · NPI 1417180886

Dr. Matthew Todd Braddock, DO is a Family Practice in Jacksonville, Florida. Qualified in 2009, 17 years ago. Practices with Baptist Primary Care Inc, a 457-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
17
Licensed in
FL
In the registry since
2009
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

810 Lane Ave S
Jacksonville, FL 32205-4785
Phone: (904) 783-9680
Fax: (904) 390-7464
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS11091 (FL)

Record details

NPI number1417180886
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedSeptember 1, 2009
Last updated in NPPESNovember 20, 2024
Certification dateNovember 20, 2024
Mailing addressPo Box 746638, Atlanta, GA 30374-6638

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Baptist Primary Care Inc — 457 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Jacksonville