Organization Active NPI

Dr Joseph Clifton Broome PC

  • Family Medicine Physician
  • Bethany, OK
National Provider Identifier
1003991787
Registry record updated May 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
23006 Issued in OK
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2011

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.NPI 1306817887
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200068070AMedicaidOK

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.