Individual provider Active NPI

William Smith Broome, M.D.

  • Family Medicine Physician
  • Knoxville, TN
National Provider Identifier
1679671515
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD0000013894 Issued in TN
Practice address
4410 Valley View Dr
Knoxville, TN 37917-1304
Phone
(865) 523-5235
Fax
(865) 523-2003
NPI assigned
Sep 21, 2006
Last updated
May 21, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD0000013894 TN Primary

Addresses

Primary practice location

4410 Valley View Dr
Knoxville, TN 37917-1304

Mailing address

PO Box 440471
Nashville, TN 37244-0471
Phone (865) 523-5235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20101007000371 TN Practitioner - Family Practice 6507058666 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.48 of 100Reported as apm
Quality
86.23
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD0000013894TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System, Inc Family Medicine CurrentSince Aug 1, 1999 Accepting new patients
University Health System Inc CurrentSince Aug 1, 1999 Accepting new patients
University Health System, Inc. Current Accepting new patients
University Health System, Inc Current Accepting new patients
Ut Urgent Care Centers LLC Family Medicine CurrentSince Dec 3, 2020 Accepting new patients
University Health System, Inc Past Accepting new patients

Locations

2927 Essary Dr
Knoxville, TN 37918
Phone (865) 687-2303

4410 Valley View Dr
Knoxville, TN 37917
Phone (865) 523-0303

9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142

1130 Middle Creek Rd
Ste 270
Sevierville, TN 37862
Phone (865) 365-3074

Interoperability endpoints

  • Direct secure messaging: kimhealthcenter.billbroome@156741.advancedmd-direct.com
  • Direct secure messaging: william.broomeiii@direct.utmck.edu

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1679671515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440471",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372440471",
            "telephone_number": "865-523-5235",
            "fax_number": "865-523-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 VALLEY VIEW DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379171304",
            "telephone_number": "865-523-5235",
            "fax_number": "865-523-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOME",
        "first_name": "WILLIAM",
        "middle_name": "SMITH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD0000013894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.