Christopher Ken Broome, FNP
Individual provider Active NPI Family Nurse Practitioner · Duncan, SC
NPI 1740697002 · NPPES record last updated Apr 9, 2025
Key facts
- NPI
- 1740697002
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 18810 (SC)
- Practice address
- 1923 E Main St
Duncan, SC 29334-8885 - Phone
- (864) 635-0376
- Fax
- (864) 442-6848
- NPI assigned
- Jul 18, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- CSP Enterprises LLC
Practice addresses (Care Compare)
1923 E Main St
Duncan, SC 29334-8885
Phone (864) 635-0376
Hospital & facility affiliations
- Spartanburg Medical Center
- Pelham Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141120000545 | SC | Practitioner - Nurse Practitioner | 7618199001 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Spine Pain LLC | Current |
Accepting new patients | |
| CSP Enterprises LLC | Family | Current |
Accepting new patients |
Locations
1923 E Main St
Duncan, SC 29334
Phone (864) 635-0376
115 Brushy Creek Rd
Easley, SC 29642
Phone (864) 635-0376
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 18810 | SC | Yes |
Addresses
Primary practice location
1923 E Main St
Duncan, SC 29334-8885
Mailing address
PO Box 1315
Easley, SC 29641-1315
Phone (864) 635-0376
Other providers in Duncan, SC
- Ann Therese Bartee
- Rachel Leah Blackwell
- Body & Soul, Inc
- Clifford William Bowers III
- Brand New Transportation
- Stacey Harris Brown
- Stephanie Burnett
- Simon B Cairns
- Louis Campasano Jr.
- Lisa Jane Cancel
All providers in Duncan, SC · Family Nurse Practitioner in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.