Active NPI
Dr Joseph Clifton Broome PC
- Family Medicine Physician
- Bethany, OK
National Provider Identifier
1003991787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 23006
- Legal business name
- DR JOSEPH CLIFTON BROOME PC
- Practice address
- 7530 NW 23Rd St
Bethany, OK 73008-4942 - Phone
- (405) 787-4915
- Fax
- (405) 787-6303
- NPI assigned
- Oct 25, 2006
- Last updated
- May 10, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Joseph Clifton Broome, M.D.
- Title
- President
- Phone
- (405) 787-4915
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 23006 | OK | Primary |
Addresses
Primary practice location
7530 NW 23Rd St
Bethany, OK 73008-4942
Mailing address
RR 1 Box 122B
Cashion, OK 73016-9731
Phone (405) 433-5607
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200068070A | Medicaid | OK |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Bethany, OK
- NPI 1306817887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1304985600000",
"number": "1003991787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RR 1 BOX 122B",
"city": "CASHION",
"state": "OK",
"postal_code": "730169731",
"telephone_number": "405-433-5607",
"fax_number": "877-463-3813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7530 NW 23RD ST",
"city": "BETHANY",
"state": "OK",
"postal_code": "730084942",
"telephone_number": "405-787-4915",
"fax_number": "405-787-6303"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR JOSEPH CLIFTON BROOME PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-25",
"last_updated": "2011-05-10",
"status": "A",
"authorized_official_last_name": "BROOME",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "CLIFTON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "405-787-4915",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "23006",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200068070A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bethany, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.