William M McBroom, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E6500 Issued in TX

Practice address

1253 N Von Minden St
La Grange, TX 78945-1262

Phone

(979) 968-8493

Fax

(979) 968-6388

NPI assigned

Feb 13, 2007

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 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

96.95 of 100Reported as individual

Quality

94.45

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19983/brand/1/csg/1/fhir/r4
• Direct secure messaging: smmwmcbro@yourcarecommunity.org
• Direct secure messaging: william.mcbroom.1@19983.direct.athenahealth.com

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Winnie-Stowell Hospital District

  • Skilled Nursing Facility
  • Giddings, TX
  • NPI 1174574958

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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

• LGFM PLLC

  • Family Medicine Physician
  • La Grange, TX
  • NPI 1871153775
  Medicare reassignment NPD
• McBroom Clinic PA

  • Family Medicine Physician
  • La Grange, TX
  • NPI 1114088093
  Medicare reassignment NPD

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1407998461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1253 N VON MINDEN ST",
            "city": "LA GRANGE",
            "state": "TX",
            "postal_code": "789451262",
            "telephone_number": "979-968-8493",
            "fax_number": "979-968-6388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1253 N VON MINDEN ST",
            "city": "LA GRANGE",
            "state": "TX",
            "postal_code": "789451262",
            "telephone_number": "979-968-8493",
            "fax_number": "979-968-6388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBROOM",
        "first_name": "WILLIAM",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E6500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "E6500",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139351417",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carmen Maria Lukner, RPH
• Tracy P. Mach, L.P.C.
• Sarah Martin, FNP
• Larry Donald Mayer, D.D.S.
• McBroom Clinic PA
• Rebekah McNulty, LICSW
• Monument Rehabilitation and Nursing Center, LLP
• Angela Christine Murphy, LCSW
• My Lighthouse of Hope, Inc.
• Jamie Nichols, LCSW

• Family Medicine Physician in La Grange, TX
• Providers in La Grange, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.