David Broomall, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

35048860 Issued in OH

Practice address

8240 Northcreek Dr
Cincinnati, OH 45236-2377

Phone

(513) 246-7000

Fax

(513) 246-5284

NPI assigned

May 31, 2006

Last updated

Mar 16, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

93.01 of 100Reported as apm

Quality

86.02

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dbroomall104@direct.trihealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Trihealth G LLC

  • Internal Medicine Physician
  • Cincinnati, OH
  • NPI 1295862944
  Medicare reassignment NPD
• Trihealth H LLC

  • Obstetrics Physician
  • Cincinnati, OH
  • NPI 1811215742

  Dermatology

  Medicare reassignment NPD
• Trihealth G, LLC

  dba GE Family Wellness Center Pharmacy

  • Community/Retail Pharmacy
  • Cincinnati, OH
  • NPI 1184023640
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489622400000",
    "number": "1164469144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4685 FOREST AVE",
            "address_2": "STE C",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452123397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8240 NORTHCREEK DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362377",
            "telephone_number": "513-246-7000",
            "fax_number": "513-246-5284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOMALL",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2017-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35048860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0836251",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Andrew Brooksbank
• Alana Brookshire
• Anthony Brookshire
• Brookwood Opco LLC (Brookwood Care Community)
• Brookwood Opco LLC (Brookwood Care Community)
• Deairr Jamekia Broomes
• Sonya D Broomes
• Jason Broomfield
• Nicole Broomfield
• Edward L Brose III, MD

• Dermatology Physician in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Dermatology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.