Stacy McBroom, DO

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

DO000034 Issued in LA

Practice address

2016 Oak Park Blvd
Lake Charles, LA 70601-7828

Phone

(337) 477-8861

Fax

(337) 477-3092

NPI assigned

Jul 17, 2006

Last updated

Feb 15, 2021By the provider in NPPES

Sex

Female

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 LA

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

Specialty

Osteopathic Manipulative Medicine

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University Hospital and Clinics, Inc.Group PAC ID 7113161977, 81 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ochsner University Hospital and Clinics Hospital, Lafayette, LA, CCN 190006
• Ochsner Lafayette General Medical Center Hospital, Lafayette, LA, CCN 190002
• Ochsner St Martin Hospital Hospital, Breaux Bridge, LA, CCN 191302

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

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.

• University Hospital & Clinics, Inc.

  • Anesthesiology Physician
  • Lafayette, LA
  • NPI 1639518087
  Medicare reassignment Care Compare group NPD
• University Hospital & Clinics Inc

  dba University Hospital & Clinics OutPatient Pharmacy

  • Community/Retail Pharmacy
  • Lafayette, LA
  • NPI 1740739044
  NPD
• University Hospital and Clinics, Inc.

  dba UHC Clinics

  • Clinic/Center
  • Lafayette, LA
  • NPI 1265042782
  NPD
• Lsumc University Medical Center

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1629015573
  NPD (past)
• Urology Assoc. of N.E. Florida

  • Urology Physician
  • Orange Park, FL
  • NPI 1447235411
  NPD (past)

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

• Lafayette General Medical Center Inc

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1275536799
  Care Compare affiliation
• St Martin Hospital, Inc.

  dba St Martin Hospital

  • Critical Access Hospital
  • Breaux Bridge, LA
  • NPI 1437482817
  Care Compare affiliation
• University Hospital & Clinics, Inc.

  dba Ochsner University Hospital & Clinics

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1306281126
  Care Compare affiliation

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613347200000",
    "number": "1346267077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122525",
            "address_2": "DEPT 2525",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753122525",
            "telephone_number": "337-494-2772",
            "fax_number": "337-494-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 OAK PARK BLVD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017828",
            "telephone_number": "337-477-8861",
            "fax_number": "337-477-3092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBROOM",
        "first_name": "STACY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "LA",
            "license": "DO000034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1318540",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shyla Mayo
• James G Maze, MD
• Mallory McAllister
• Mary Keanna McArthur
• Taylor Brooke McBride, RN
• McCain Family Eyecare, LLC
• Angela McCain, APRN, NNP-BC
• Lauren Marie McCain
• Mason Douglas McCain, OD
• Aaron McCall, PHARMD.

• Urology Physician in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Urology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; 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.