Chad Langston Broome-Webster, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

ME83626 Issued in FL

Practice address

938 Saxon Blvd
Suite 101 C
Orange City, FL 32763-8305

Phone

(386) 774-5485

Fax

(386) 775-0761

NPI assigned

May 1, 2006

Last updated

Dec 7, 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Cardiovascular Disease (Cardiology)Also: Internal Medicine

Education

University of Connecticut School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Halifax Healthcare Systems IncGroup PAC ID 1254238090, 345 clinicians

Lewis and Klancke Cardiology PAGroup PAC ID 6305731860, 13 clinicians

Florida Hospital Healthcare Partners, IncGroup PAC ID 7012266836, 621 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Deland Hospital, Deland, FL, CCN 100045
• Adventhealth Fish Memorial Hospital, Orange City, FL, CCN 100072
• Halifax Health /Uf Health Medical Center of Delton Hospital, Deltona, FL, CCN 100330

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Florida Hospital Healthcare Partners, Inc

  • Internal Medicine Physician
  • Daytona Beach, FL
  • NPI 1780100529
  Medicare reassignment Care Compare group NPD
• Halifax Healthcare Systems Inc

  dba HHCSI Halifax Family Health Center

  • Family Medicine Physician
  • Daytona Beach, FL
  • NPI 1245283530
  Medicare reassignment Care Compare group NPD
• Lewis & Klancke Cardiology PA

  dba Daytona Heart Group

  • Cardiovascular Disease Physician
  • Daytona Beach, FL
  • NPI 1669589263
  Medicare reassignment Care Compare group NPD
• Memorial Hospital-West Volusia Inc

  dba AdventHealth DeLand

  • General Acute Care Hospital
  • Deland, FL
  • NPI 1649367269
  NPD
• Memorial Hospital-West Volusia Inc

  dba AdventHealth Medical Group

  • Multi-Specialty Clinic/Center
  • Deland, FL
  • NPI 1669639415
  NPD
• Southwest Volusia Healthcare Corporation

  dba AdventHealth Medical Group

  • Internal Medicine Physician
  • Orange City, FL
  • NPI 1346424165

  Cardiovascular Disease

  NPD
• Southwest Volusia Healthcare Corporation

  dba AdventHealth Outpatient Pharmacy Fish Memorial

  • Community/Retail Pharmacy
  • Orange City, FL
  • NPI 1568254159
  NPD
• Southwest Volusia Healthcare Corporation

  dba Adventhealth Medical Group

  • Internal Medicine Physician
  • Orange City, FL
  • NPI 1902095078
  NPD
• Lewis & Klancke Cardiology PA

  dba Daytona Heart Group

  • Cardiovascular Disease Physician
  • Orange City, FL
  • NPI 1558405639
  NPD (past)

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

• Medical Center of Deltona, Inc.

  dba Halifax Health UF Health - Medical Center of Deltona

  • General Acute Care Hospital
  • Deltona, FL
  • NPI 1003465097
  Care Compare affiliation
• Memorial Hospital-West Volusia Inc

  dba AdventHealth DeLand

  • General Acute Care Hospital
  • Deland, FL
  • NPI 1649367269
  Care Compare affiliation
• Southwest Volusia Healthcare Corporation

  dba AdventHealth Fish Memorial

  • General Acute Care Hospital
  • Orange City, FL
  • NPI 1700978558
  Care Compare affiliation
• Southwest Volusia Healthcare Corporation

  dba Adventhealth Medical Group

  • Internal Medicine Physician
  • Orange City, FL
  • NPI 1902095078

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512604800000",
    "number": "1669430732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 N CLYDE MORRIS BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321142321",
            "telephone_number": "386-258-8722",
            "fax_number": "386-258-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "938 SAXON BLVD",
            "address_2": "SUITE 101 C",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638305",
            "telephone_number": "386-774-5485",
            "fax_number": "386-775-0761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOME-WEBSTER",
        "first_name": "CHAD",
        "middle_name": "LANGSTON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2017-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "FL",
            "license": "ME 83626",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME83626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tasha Naomi Brickhouse, RDN, LD/N
• Krista Brinkerhoff
• Thomas J Brodrick, MD
• Alyssa Brooks
• Broome Vision Inc (Eyesavers)
• Dorna J Broome-Webster, MD
• Joy Prinsell Brothers, APRN
• Stephanie Brown
• Nicola Marsha-Ann Bryan-Henderson
• Gerard Kevin Buckley, D.C.

• Cardiovascular Disease Physician in Orange City, FL
• Providers in Orange City, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.