Jeffery Broffman, M.D.

Primary specialty

Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X

License

G53420 Issued in CA

Practice address

1144 Sonoma Ave
Suite 101
Santa Rosa, CA 95405-4812

Phone

(707) 526-7920

Fax

(707) 546-5334

NPI assigned

Mar 24, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Dr Jeff Broffman a Medical Corp

  • Otolaryngology Physician
  • Santa Rosa, CA
  • NPI 1346315181
  NPD (past)
• North Coast Faculty Medical Group Inc

  • Otolaryngology Physician
  • Sebastopol, CA
  • NPI 1750616512
  NPD (past)

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206316800000",
    "number": "1659543247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 SONOMA AVE",
            "address_2": "SUITE 101",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054812",
            "telephone_number": "707-526-7920",
            "fax_number": "707-546-5334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 SONOMA AVE",
            "address_2": "SUITE 101",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054812",
            "telephone_number": "707-526-7920",
            "fax_number": "707-546-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROFFMAN",
        "first_name": "JEFFERY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "CA",
            "license": "G53420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Schulte Britt, M.D.
• Elisabeth Holly Brittell, PSY.D.
• Stephanie Sara Britton
• Danna Maria Brock, CNP
• Rosemary Brock, MFT
• Robert Paul Brohmer, LMFT
• George William Bromley Jr., MFT INTERN
• Lucille Hester Brongersma, O.D.
• Tessa Bronner
• Lorien Bronsert, RADT1

• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.