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

Thomas P Broner, DPM

Individual provider Podiatrist · NPI 1790740314

Thomas P Broner, DPM is a Podiatry in Jacksonville, Florida. Graduated from Kent State University College of Podiatric Medicine in 1976, 50 years ago. Accepts Medicare assignment. Licensed in Florida.

Years since qualifying
50
Trained at
Kent State University College of Podiatric Medicine
Licensed in
FL
In the registry since
2006
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

5301 Pine Notch Pl
Jacksonville, FL 32224-4411
Phone: (904) 472-6536
Fax: (904) 895-6056
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence PO0924 (FL)
Podiatrist Taxonomy 213E00000X · Licence PO924 (FL)

Record details

NPI number1790740314
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedApril 18, 2006
Last updated in NPPESApril 17, 2024
Certification dateApril 17, 2024
Mailing address5301 Pine Notch Pl, Jacksonville, FL 32224-4411

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolKENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated 1976 (50 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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