Monroe A Broome, M.D.
Individual provider Active NPI Diagnostic Radiology Physician · Knoxville, TN
NPI 1013076272 · NPPES record last updated Oct 21, 2022
Key facts
- NPI
- 1013076272
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 15641 (TN)
- Practice address
- 1112 E Weisgarber Rd Ste 102
Knoxville, TN 37909-2647 - Phone
- (865) 558-9862
- Fax
- (865) 584-3478
- NPI assigned
- Dec 6, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15641 | TN | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 15641 | TN | |
| Diagnostic Radiology Physician | 2085R0202X | 15641 | TN | Yes |
Addresses
Primary practice location
1112 E Weisgarber Rd Ste 102
Knoxville, TN 37909-2647
Mailing address
1112 E Weisgarber Rd Ste 102
Knoxville, TN 37909-2647
Phone (865) 558-9862
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3012222 | Medicaid | TN |
Other providers in Knoxville, TN
- Steven A Brooks
- Yolanda Brooks
- Roger A Brooksbank
- Barbara Danielle Broome
- Mason Broome
- William Jeffrey Broome
- William Smith Broome
- Brittany Brosky
- Katharine Brosnan
- Jessica Brothers
All providers in Knoxville, TN · Diagnostic Radiology Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.