Individual provider Active NPI

Angela T McBroom, PA-C

  • Physician Assistant
  • Amarillo, TX
National Provider Identifier
1235433780
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
7306 SW 34TH Ave Ste 3
Amarillo, TX 79121-1446
Phone
(806) 350-3010
Fax
(806) 350-3015
NPI assigned
Dec 26, 2010
Last updated
Jun 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X TX Primary

Addresses

Primary practice location

7306 SW 34TH Ave Ste 3
Amarillo, TX 79121-1446

Mailing address

2501 Lakeview Dr
Amarillo, TX 79109-1531
Phone (806) 355-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110223000255 TX Practitioner - Physician Assistant 4880875996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3900 NE Stallings Dr
Suite 101
Nacogdoches, TX 75965-2111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wesley Bradley Dosher PLLC PastSince Jun 15, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: angela.mcbroom.p1@direct.precisionspinecare.nextgenshare.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CGIHAD/Endpoint/CGIHAD

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1293321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1235433780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 LAKEVIEW DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791091531",
            "telephone_number": "806-355-8900",
            "fax_number": "806-355-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7306 SW 34TH AVE STE 3",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791211446",
            "telephone_number": "806-350-3010",
            "fax_number": "806-350-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBROOM",
        "first_name": "ANGELA",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-26",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.