Charles Brandon Broome, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

P7078 Issued in TX

Practice address

225 E Sonterra Blvd Ste 220
San Antonio, TX 78258-3992

Phone

(210) 614-5100

Fax

(210) 614-5103

NPI assigned

Feb 9, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2018 through Jul 1, 2028

Specialty

Orthopedic Surgery

Education

Texas Tech University Health Science Center School of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The West Texas Rehabilitation CenterGroup PAC ID 2860301215, shared by 5 NPIs, 444 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• South Texas Spine and Surgical Hospital Hospital, San Antonio, TX, CCN 450856

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bbroome@saos.emadirect.md

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.

• S.a.O.S., P.L.L.C.

  dba San Antonio Orthopaedic Specialists

  • Orthopaedic Surgery Physician
  • San Antonio, TX
  • NPI 1265410435
  NPD Authorized official
• Texas Bone Health and Wellness Center

  • Family Nurse Practitioner
  • San Antonio, TX
  • NPI 1811888142
  NPD

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

• Orthopedic & Spine Surgical Hospital of South Texas, L.P.

  dba South Texas Spine & Surgical Hospital

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1295890093
  Care Compare affiliation

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1720129992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47052",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782657052",
            "telephone_number": "210-614-5100",
            "fax_number": "210-614-5103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E SONTERRA BLVD STE 220",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583992",
            "telephone_number": "210-614-5100",
            "fax_number": "210-614-5103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOME",
        "first_name": "CHARLES",
        "middle_name": "BRANDON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "P7078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jim P Brookshier, LCO
• Carl Edward Broom, D.C.
• Heather Broom
• John Broom, RN
• April S Broome
• Amanda Brosnan, MPAS, PA-C
• George Brosowske, DNP
• Amanda M Brosz, FNP
• Barbara Jo Brothers, MSW LCSW BCD CGP
• Brenna Joy Brothers, DNP, APRN, FNP-C

• Orthopaedic Surgery Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Orthopaedic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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; Opt Out Affidavits.
• 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.